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Guidelines on smoking management during the perioperative period. | LitMetric

AI Article Synopsis

  • - Smoking significantly increases the risk of hospital mortality (20%) and major postoperative complications (40%) for patients scheduled for surgery during the perioperative period.
  • - There is a strong opportunity for smoking cessation before surgery, with behavior management and nicotine substitutes proving effective at increasing quitting rates.
  • - All healthcare professionals should actively encourage and support smoking cessation for patients, highlighting its benefits, while special attention should be given to reducing children's exposure to tobacco smoke prior to surgery.

Article Abstract

Smoking is a public health problem of particular importance during the perioperative period, since it exposes patients scheduled for surgery to risk increases of 20% in hospital mortality and 40% in major postoperative complications. In addition, current smoking increases almost all specific surgical complications. The perioperative period offers a genuine opportunity for smoking cessation. The rate of preoperative smoking cessation can be increased significantly by offering behavior management and the prescription of a nicotine substitute before any scheduled surgical intervention. Preoperative smoking cessation should be routinely recommended independently of the timing of the intervention, even though the benefits increase in proportion with the length of cessation. All professionals of the care pathway (general practitioners, surgeons, anesthetists-intensivists, caregivers) must inform smokers of the positive effects of smoking cessation and offer them dedicated management and personalized follow-up. In children, cessation of parental smoking or removal of the child from environmental tobacco smoke as long before surgery as possible is indispensable.

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Source
http://dx.doi.org/10.1016/j.accpm.2017.02.002DOI Listing

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