Tobacco dependence in surgical patients

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: Many patients who smoke cigarettes require anesthesia and surgery. Their smoking can have profound consequences for perioperative management. Efforts to help them quit will be rewarded by both improved immediate postoperative outcomes and the long-term health benefits after surgery. This review will introduce basic concepts important to perioperative tobacco control and cover recent advances in the field. RECENT FINDINGS: Evidence continues to accumulate regarding how smoking increases perioperative risk, especially of wound-related complications. There is also new information regarding how abstinence from smoking reduces risk, including how the timing of preoperative abstinence affects outcome. Methods to help surgical patients continue to be developed, taking advantage of surgery as a teachable moment for intervention. There is a need to develop methods practical in the surgical setting. Several pharmacological tools to help surgical patients quit smoking are available, including a new partial acetylcholine receptor agonist. SUMMARY: The fact that the perioperative period represents an excellent opportunity to help surgical patients quit smoking is becoming increasingly apparent. Although these efforts, and the evidence base to support them, are still at an early stage of development, seizing this opportunity will benefit both the short and long-term health of our patients who smoke.

Original languageEnglish (US)
Pages (from-to)279-283
Number of pages5
JournalCurrent Opinion in Anaesthesiology
Volume20
Issue number3
DOIs
StatePublished - Jun 2007

Fingerprint

Tobacco Use Disorder
Smoking
Smoke
Cholinergic Agonists
Perioperative Period
Cholinergic Receptors
Insurance Benefits
Tobacco Products
Tobacco
Anesthesia
Pharmacology
Health
Wounds and Injuries

Keywords

  • Cigarettes
  • Perioperative complications
  • Smoking cessation
  • Teachable moment

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Tobacco dependence in surgical patients. / Warner, David Oman.

In: Current Opinion in Anaesthesiology, Vol. 20, No. 3, 06.2007, p. 279-283.

Research output: Contribution to journalArticle

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