Relationship Between the Duration of the Preoperative Smoke-Free Period and the Incidence of Postoperative Pulmonary Complications After Pulmonary Surgery

Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

“…Smoking is a factor of great importance in the preoperative evaluation as it increases the pulmonary complications [4,5]. In our study there were no significant differences between the groups, all presented with mechanical respiration variables and gas exchange indexes lower than normal.…”

“…In our study there were no significant differences between the groups, all presented with mechanical respiration variables and gas exchange indexes lower than normal. We believe that there was no difference because smokers ceased the habit for an average of seven weeks before the surgery, a period sufficient to reduce surgical risks [5]. In spite of not finding significant differences among the groups, it is known that smokers present a higher risk of pulmonary complications in the postoperative period, as these patients do not present with integrity of the respiratory system sufficient to maintain alveolar ventilation after extubation [18].…”

“…Smoking increases the risk of PPCs depending on the quantity of cigarettes smoked. Cigarettes have noxious effects that are responsible for PPCs and so 8 weeks of abstinence is fundamental to reduce these effects [4,5]. Malnutrition and obesity are also considered risk factors; the first leads to a reduction in the response to hypoxia of the muscle mass and to pulmonary defense due to proteiccaloric deficiency [3,6]; the second makes atelectasis more common and is responsible for a reduction in pulmonary compliance.…”

Fatores prognósticos em complicações pós-operatórias de ressecção pulmonar: análise de pré-albumina, tempo de ventilação mecânica e outros

“…(20) Our results show that there was a statistically significant correlation between pre-albumin alterations and POCs, as evidenced by the finding that 43.75% of the patients presenting POCs had low levels of pre-albumin. Such correlations have also been reported in the literature, (21) underscoring the importance of assessing pre-albumin levels.…”

Clinical Significance of Smoking Cessation in Subjects With Cancer: A 30-Year Review

“…The results of this study add to the information coming from previously published studies showing that smokers who quit Ͼ 10 weeks before surgery have a similar risk for postoperative pulmonary complications as never-smokers. 44 There are some limitations regarding the small number of patients included and the use of the QLQ-C30 and QLQ-LC13 questionnaires for the assessment of quality of life, which are validated only for subjects with advanced disease (stages III and IV).…”