Pooled evidence on cannabis use and propofol requirements

2025 | International evidence base | Systematic review and meta-analysis

Baker MB et al. Journal of Clinical Medicine. 2025;14:858.

Original publication DOI  |  Study record

Methods: Researchers pooled eight studies involving 2,268 patients who received propofol for anesthesia or procedural sedation. Cannabis exposure definitions and clinical settings differed across the included studies.

Findings: Cannabis users received an average of approximately 47 mg more total propofol than nonusers. The authors emphasized low certainty and described the results as a basis for further investigation.

Limitations: Confounding by age, tobacco use, and other characteristics remains possible. Different procedures and exposure patterns limit the meaning of a single pooled dose difference. This estimate is not a dosing rule or a randomized test of disclosure before surgery.

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