Perioperative Reference
Cannabis use changes how a patient responds to anesthesia and pain control.
A structured clinical reference for surgical and anesthesia teams managing cannabis-using patients before, during, and after surgery.
Bleeding risk
Flags for platelet and coagulation considerations
Anesthesia dosing
Tolerance and titration considerations
Postop opioid needs
Altered pain thresholds and higher opioid requirements in regular users
Why this exists
Filling a gap in perioperative guidance
Cannabis use is increasingly common among surgical patients, yet standardized perioperative reference materials for managing these patients remain limited. Surgeons and anesthesiologists routinely encounter patients who use cannabis regularly, but lack a structured framework for assessing bleeding risk, anesthesia requirements, and postoperative pain management in this population.
Existing institutional protocols rarely address cannabis-specific considerations in a systematic way. Clinical teams are often left to piece together guidance from scattered literature sources, informal experience, and ad hoc discussions — an approach that introduces inconsistency and uncertainty at a critical point in patient care.
Endocannabinoid Clinical was built by a board-certified surgeon with direct clinical experience in medical cannabis to address this gap. It provides a structured reference for perioperative decision support — organized around the three domains that matter most at the bedside: bleeding risk, anesthesia dosing, and postoperative opioid needs.