Tobacco control for anesthesiologists

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Anesthesiologists daily witness the consequences of tobacco use, the most common preventable cause of death. Smoking-related diseases such as atherosclerosis and chronic obstructive pulmonary disease increase anesthetic risk, and even smokers without overt disease are at increased risk for morbidity such as pulmonary and wound-related complications. Evidence suggests that stopping smoking will reduce the frequency of these complications. Nicotine and the other constituents of cigarette smoke, such as carbon monoxide, have important physiologic effects that may affect perioperative management. In addition, it is now apparent that the scheduling of elective surgery represents an excellent opportunity for smokers to quit in the long term. This review serves as an introduction to tobacco control for anesthesiologists, first examining issues of importance to perioperative management. It then discusses how anesthesiologists and other perioperative physicians can help address tobacco use, both at an individual level with their patients, and by contributing to the implementation of effective public health strategies in their countries. Anesthesiologists can play a key role in helping their patients quit smoking. Effective tobacco control measures applied to surgical patients will not only improve immediate perioperative outcomes but also long-term health.

Original languageEnglish (US)
Pages (from-to)200-211
Number of pages12
JournalJournal of Anesthesia
Volume21
Issue number2
DOIs
StatePublished - May 1 2007

Keywords

  • Cigarettes
  • Perioperativecomplications
  • Smoking

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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