Safe Management of Surgical Patients Using Cannabinoids

Does Los Angeles City Cannabis regulations or commission reflect the conclusion with established warning notifications? 

November 2020:

American Society of Regional Anesthesia and Pain Medicine charged the Cannabis Working Group to develop guidelines for the perioperative use of cannabis in 2020.  A committee was created "Perioperative Use of Cannabis and Cannabinoids Guidelines Committe" with these objectives

• Draft a response to nine key questions using a modified Delphi method
• Produce a document focused on the safe management of surgical patients using cannabinoids
• Consensus recommendation with 75% in agreement

Conclusion

• "Nine questions were selected, with 100% consensus achieved on third-round voting. 
• Topics addressed included 
  • perioperative screening
  • postponement of elective surgery
  • concomitant use of opioid and cannabis perioperatively
  • implications for parturients
  • adjustment in anesthetic and analgesics intraoperatively
  • postoperative monitoring
  • cannabis use disorder
  • postoperative concerns. 
  • Surgical patients using cannabinoids are at potential increased risk for negative perioperative outcomes.

 The latest version of the article/study is available here:  ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids | Regional Anesthesia & Pain Medicine (bmj.com)

Los Angeles City regulations concerning Cannabis include

Sec. 22.1100. Cannabis Commission. (a) Establishment. A Cannabis Regulation Commission is hereby created that shall have the powers, duties and responsibilities set forth in this chapter and elsewhere in the City Charter, Los Angeles Municipal Code and Los Angeles Administrative Code. The Commission shall have five members. (b) Appointment. Members shall be appointed and may be removed in accordance with Charter Section 502. (c) Terms of Office. The members of the Commission shall have four-year, staggered terms beginning with the first day of July of the respective years. The original five members shall be appointed for such terms as shall cause one term to expire on the date of June 30 in two years, two terms to expire on the date of June 30 in three years, and two terms to expire on the date of June 30 in four years. (d) Qualifications. Members shall be appointed in accordance with Charter Section 501(d). One member of the Commission shall be an elected member of a Neighborhood Council at the time of the appointment. No person shall be appointed to the Commission who was a registered lobbyist or required to be registered as a lobbyist for any cannabis-related activities for the 12 months prior to appointment.

Cannabis Location Restrictions - Article 5, Chapter X of the Los Angeles Municipal Code

Cannabis Enforcement, Taxation, and Regulation Act 

Cannabis Procedures - Article 4, Chapter X of the Los Angeles Municipal Code

Please refer to these FAQs to find out more about the April 2022 changes to the Cannabis Procedures Ordinance and the Rules and Regulations

LA County Department of Public Health Inspection Program | Cannabis Regulation (lacity.org)

More News from Los Angeles

• Taxpayer Protection & Gov't Accountability Act (TPA) Ballot measure titles: Limits ability of voters & state & local gov'ts to raise revenues for gov't services VS 2/3 legislative vote & voter approval for fee & charge increases.
• Patents Issued to SFV Inventors/Companies Week 16 2024 There were 894 patents issued to California inventors/companies of which 31 were based out of the San Fernando Valley!