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[Smoking and anesthesia].
M Palot1, H Visseaux, A Causse-Mariscal
1Département d'Anesthésie-Réanimation, CHU de Reims, 51092 Reims Cedex. mpalot@chu-reims.fr
Summary
Smoking significantly increases risks for cardiac and respiratory complications during and after anesthesia, particularly with general anesthesia. Quitting smoking two months before surgery and abstaining 12 hours prior is recommended for better outcomes.
Area of Science:
- Anesthesiology
- Obstetrics
- Cardiopulmonary Medicine
Context:
- Limited research exists on smoking's impact on anesthetized pregnant women.
- General anesthesia poses significant risks for smokers, including increased cardiac and respiratory complications.
- Smokers experience heightened postoperative anxiety but reduced nausea and vomiting.
Purpose:
- To review the consequences of smoking in patients undergoing anesthesia.
- To highlight the increased risks of cardiac and respiratory complications in smokers.
- To provide recommendations for smoking cessation and anesthetic choices.
Summary:
- Smoking is associated with a higher incidence of perioperative cardiac and respiratory issues.
- Preoperative smoking cessation, ideally two months prior and at least 12 hours before anesthesia, is advised.
- Propofol and sevoflurane may offer fewer respiratory complications in general anesthesia compared to other agents.
- Regional anesthesia is preferred for smokers when feasible.
Impact:
- Informing clinical practice regarding anesthetic management for smokers.
- Emphasizing the importance of smoking cessation for surgical patients.
- Guiding anesthesiologists in mitigating risks associated with smoking.