• Anesthesia and analgesia · Dec 2011

    Review

    Brief preoperative smoking abstinence: is there a dilemma?

    • Yu Shi and David O Warner.
    • Department of Anesthesiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
    • Anesth. Analg. 2011 Dec 1; 113 (6): 1348-51.

    AbstractThe concern that stopping smoking shortly (<8 weeks) before surgery increases postoperative pulmonary complications poses a barrier to tobacco use interventions in surgical patients. We show how this concern arose from a misinterpretation of initial studies and has remained in the medical literature despite the accumulation of later evidence. The persistence of unsubstantiated concepts is not uncommon and can have a significant impact on medical practice. Although it may take several weeks to derive pulmonary benefit from quitting, fear of an increase in pulmonary complications should not be a barrier for clinicians to help their patients quit smoking at any time before surgery.

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