Smoking Cessation for Preoperative Optimization

Abstract

Cigarette smoking is associated with pulmonary and cardiovascular disease and confers increased postoperative morbidity and mortality. Smoking cessation in the weeks before surgery can mitigate these risks, and surgeons should screen patients for smoking before a scheduled operation so that appropriate smoking cessation education and resources can be given. Interventions that combine nicotine replacement therapy, pharmacotherapy, and counseling are effective to achieve durable smoking cessation. When trying to stop smoking in the preoperative period, surgical patients experience much higher than average cessation rates compared with the general population, indicating that the time around surgery is ripe for motivating and sustaining behavior change. This chapter summarizes the impact of smoking on postoperative outcomes in abdominal and colorectal surgery, the benefits of smoking cessation, and the impact of interventions aimed to reduce smoking before surgery.

Validação de um protocolo de teleconsulta pré-operatória de enfermagem em hernioplastia e colecistectomia

“…No quesito relacionado ao cigarro, descrito na pergunta 13) "O senhor fuma? ", vale considerar a sua relevância com base em um estudo recente com pacientes submetidos a cirurgia geral, no qual os autores destacam a importância de promover educação adequada para a cessão do tabagismo e reduzir os riscos associados a doenças pulmonares, cardiovasculares e morbimortalidade pós-operatória 19 .…”

Association of adherence to the enhanced recovery after surgery pathway and outcomes after laparoscopic total gastrectomy

“…Recommendations were developed for enhanced recovery items covering topics involved of preadmission, admission, intraoperative care and postoperative care. Several key recommendations about preoperative nutrition, smoking cessation, multimodal analgesia, postoperative fluid optimization and early mobilization have been demonstrated to improve outcomes after surgery [12][13][14][15][16]. Notably however, its safety and efficacy in gastric cancer patients especially those undergoing total gastrectomy warrants further dedicated research [17][18][19].…”