Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement on Perioperative Smoking Cessation

Wong, Jean; An, Dong Ai; Urman, Richard D.; Warner, David O.; Tønnesen, Hanne; Raveendran, Raviraj; Abdullah, Hairil Rizal; Pfeifer, Kurt; Maa, John; Finegan, Barry A.; Li, Emily; Webb, Ashley; Edwards, Angela F.; Preston, Paul; Bentov, Nathalie; Richman, Deborah C.; Chung, Frances

doi:10.1213/ane.0000000000004508

Cited by 39 publications

(29 citation statements)

References 97 publications

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“…The benefits of smoking cessation in the perioperative period are undisputed and can offer surgeons significant leverage when discussing modifiable health risks with patients 20 . It is worth noting that in our study most procedure-related referrals came from interventional cardiologists and thoracic surgeons – physicians who manage diseases directly related to the sequelae of smoking.…”

Section: Discussionmentioning

confidence: 99%

Role of procedural intervention and acute illness in veterans affairs smoking cessation program referrals: A retrospective study

Maloney¹,

Kurtz²,

Heim³

et al. 2021

Tob. Prev. Cessation

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Section: Discussionmentioning

confidence: 99%

Role of procedural intervention and acute illness in veterans affairs smoking cessation program referrals: A retrospective study

Maloney¹,

Kurtz²,

Heim³

et al. 2021

Tob. Prev. Cessation

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“…Anesthesiologists can play a vital role in smoking cessation. The “Ask-Advise-Refer” approach involves asking patients about their smoking history, advising them to quit based on its harmful health effects, and referring them to “Quitline” services [ 74 ]. Intrauterine alcohol exposure is the leading cause of preventable birth defects in the United States [ 75 ].…”

Section: Reviewmentioning

confidence: 99%

Complex Pathology and Management in the Obstetric Patient: A Narrative Review for the Anesthesiologist

Metzger¹,

Teitelbaum²,

Weber³

et al. 2021

Cureus

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Pregnant patients may present with multiple complex comorbidities that can affect peripartum management and anesthetic care. The preanesthesia clinic is the ideal setting for early evaluation of high-risk pregnant patients. Comorbidities may include cardiovascular pathology such as valvular abnormalities, septal defects, aortopathies, arrythmias and cardiomyopathies. Additional comorbidities include pulmonary conditions such as obstructive sleep apnea as well as preexisting neuromuscular and skeletal disorders that may impact anesthetic management. Hematologic conditions involving both bleeding diathesis and thrombophilias may present unique challenges for the anesthesiologist. Patients may also present with endocrinopathies including diabetes and obesity. While not as common, high-risk patients may also have preexisting gastrointestinal conditions such as liver dysfunction, renal failure, and even post-transplant status. Ongoing and prior substance abuse, obstetric conditions such as placenta accreta spectrum disorders, and fetal conditions needing ex utero Intrapartum treatment also require advanced planning. Preanesthesia evaluations also help address important ethical and cultural considerations. Counseling patients regarding anesthetic considerations as well as addressing concerns will play a role in reducing racial and ethnic disparities. Anticipatory guidance by means of pre-anesthetic planning can facilitate multidisciplinary communication and planning. This can allow for an impactful and meaningful role in the care provided, allowing for safe maternal care and optimal outcomes.

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“…Also, comprehensive reporting and follow-up on implementation-rates are rare (3). Failure to implement new evidence has severe consequences for patients such as suboptimal outcomes and adverse events (4), for instance by way of effective services not received (5)(6)(7) or sufficient training not undertaken by the staff that treat them (8).…”

Section: Introductionmentioning

confidence: 99%

Fast and Well-Reported Implementation: Fast-IM and RE-AIM

Svane¹,

Konge²,

Tønnesen³

2020

clinhp

Self Cite

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Background Implementation in healthcare is often slow and poorly reported. Results include suboptimal outcomes and adverse consequences for patients. However, promising tools to remedy implementation speed and reporting already exist – such as the evidence-based, fast-track implementation model (Fast-IM) and the comprehensive RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) reporting format. Metods In combination, Fast-IM and RE-AIM may constitute a new best practice for fast and well-reported implementation. The aim of this article was to visualize the feasibility of the combination in practice via 3 examples concerning smoking cessation among patients, simulation-based training of healthcare professionals, and mandatory regulation. Results Combining Fast-IM and RE-AIM is feasible and provides a useful overview of both implementation process and results. Conclusion This article describes a new best practice for fast and well-reported implementation by combining Fast-IM and RE-AIM.

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Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement on Perioperative Smoking Cessation

Cited by 39 publications

References 97 publications

Role of procedural intervention and acute illness in veterans affairs smoking cessation program referrals: A retrospective study

Role of procedural intervention and acute illness in veterans affairs smoking cessation program referrals: A retrospective study

Complex Pathology and Management in the Obstetric Patient: A Narrative Review for the Anesthesiologist

Fast and Well-Reported Implementation: Fast-IM and RE-AIM

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