[Perioperative tobacco cessation: a crucial period to overcome clinical inertia and poor compliance].

Rev Med Liege

Anesthésiste et Tabacologue, Centre ASTES, Jambes et Service d'Anesthésie-Réanimation, Clinique Saint-Luc, Bouge, Belgique.

Published: September 2010

AI Article Synopsis

  • Smoking is a significant concern for 30% of patients going into anesthesia, as it increases the risk of postoperative complications.
  • There are two types of complications: those affecting the cardiovascular and respiratory systems directly, and others that can hinder healing and immune response.
  • The preoperative period is crucial for addressing smoking habits, and there are recommended strategies for practitioners to help patients quit and improve compliance before surgery.

Article Abstract

Smoking concerns 30% of the patients scheduled to anesthesia. Tobacco is one of the most important risk factors for postoperative complications. There are two classes of complications: those induced by the smoking habits on the cardiovascular and the respiratory systems, and those that predispose to other complications by direct interference with processes required for the success of surgery: healing and immune responses. The preoperative period represents a crucial period to overcome clinical inertia and profit of a better compliance. Some strategies applicable by the general practitioner and the anesthesiologist during the preoperative consultation to establish smoking cessation and help the patient to comply with are proposed.

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