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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Stress Prevention and Stress Management Techniques IV01:26

Stress Prevention and Stress Management Techniques IV

Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Related Experiment Videos

Smoking and perioperative outcomes.

Alparslan Turan1, Edward J Mascha, Dmitry Roberman

  • 1Department of Outcomes Research, The Cleveland Clinic, Cleveland, Ohio 44195, USA. alparslanturan@yahoo.com

Anesthesiology
|March 5, 2011
PubMed
Summary

Smoking significantly increases the risk of death and serious complications after noncardiac surgery. Smokers face higher odds of pneumonia, cardiac events, stroke, and infections, underscoring the need for cessation before procedures.

Related Experiment Videos

Area of Science:

  • Perioperative Medicine
  • Surgical Outcomes Research
  • Public Health

Background:

  • Patient concerns regarding smoking's impact on perioperative risk are common.
  • Limited data exists on the specific risks associated with smoking and surgical outcomes.
  • This study addresses the need for clear information on smoking's effect on postoperative complications.

Purpose of the Study:

  • To determine the effect of current smoking status on 30-day postoperative outcomes.
  • To quantify the increased risks of mortality and morbidity in smokers undergoing noncardiac surgery.
  • To provide evidence for motivating smoking cessation in surgical patients.

Main Methods:

  • Analysis of 520,242 patients from the American College of Surgeons National Surgical Quality Improvement Program database.
  • Propensity matching of 82,304 current smokers with 82,304 never-smoker controls.
  • Comparison of matched groups on major and minor composite morbidity outcomes and individual complications.

Main Results:

  • Current smokers had a 1.38 times higher likelihood of 30-day mortality compared to never-smokers.
  • Smokers showed significantly increased odds of pneumonia, unplanned intubation, and mechanical ventilation.
  • Higher odds of cardiac arrest, myocardial infarction, stroke, and various incisional and organ space infections were observed in smokers.

Conclusions:

  • Smoking is significantly associated with increased 30-day mortality and a wide range of severe postoperative complications.
  • Quantifying these risks can aid clinicians in motivating patients to quit smoking before surgery.
  • The findings highlight smoking as a critical modifiable risk factor in surgical patient outcomes.