[Smoking cessation program run by anesthesiologists in a preoperative clinic]
Yuko Shimizu1, Yasuko Baba1, Yusuke Nagamine1
1Department of Anesthesiology, Yokohama City University Medical Center, Yokohama 232-0024.
Masui. the Japanese Journal of Anesthesiology
|December 25, 2013
Summary
A preoperative smoking cessation program utilizing varenicline and counseling achieved a 75% success rate in helping patients quit smoking before surgery. This highlights the effectiveness of perioperative interventions for tobacco dependence.
Area of Science:
- Anesthesiology
- Public Health
- Pharmacology
Context:
- Perioperative complications are common in smokers.
- National insurance in Japan covers smoking cessation for eligible patients.
- A dedicated preoperative smoking cessation program was established in 2010.
Purpose:
- To assess the effectiveness of a preoperative smoking cessation program.
- To evaluate the success rate of patients enrolled in the program.
- To determine the suitability of preoperative anesthesia clinics for smoking cessation interventions.
Summary:
- The program enrolled 24 patients, with 18 successfully quitting smoking (75% success rate).
- Criteria for enrollment included a Brinkman index > 200, a high score on a tobacco dependence screener, and a willingness to quit.
- The program combined counseling, varenicline prescription, and exhaled carbon monoxide monitoring.
Impact:
- Preoperative smoking cessation programs can significantly reduce perioperative complications.
- Anesthesiologists are well-positioned to counsel patients due to their understanding of smoking-related risks.
- The period before surgery offers a unique window of motivation for patients to quit smoking.
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