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Published on: May 30, 2025
A practical guide for perioperative smoking cessation.
Hiroki Iida1,2,3, Tetsuya Kai4,5, Michioki Kuri4,6
1Japanese Society of Anesthesiologists Perioperative Smoking Cessation Working Group, Kobe, Japan. iida@gifu-u.ac.jp.
Smoking cessation before surgery significantly reduces risks for patients. This review updates guidelines to help medical professionals and patients understand perioperative smoking risks and benefits.
Area of Science:
- Anesthesiology
- Public Health
- Surgical Care
Background:
- Smokers face higher risks of mortality and postoperative complications, including pneumonia, cardiac arrest, and stroke.
- Perioperative management of smokers presents significant respiratory and circulatory challenges for anesthesiologists.
- Current guidelines address perioperative tobacco cessation, emphasizing its importance for patient outcomes.
Purpose of the Study:
- To update existing guidelines on perioperative smoking cessation.
- To provide a practical guide for surgeons, anesthesiologists, and medical professionals.
- To increase patient awareness of smoking-related risks before elective surgery.
Main Methods:
- Review of existing literature and guidelines on perioperative smoking cessation.
- Synthesis of information to create a practical guide for healthcare providers.
- Focus on the benefits of smoking cessation in the perioperative period.
Main Results:
- Perioperative smoking cessation reduces risks of adverse cardiovascular and respiratory events.
- Quitting smoking before surgery lowers the incidence of wound infections and other complications.
- The perioperative period is a critical "golden opportunity" for successful smoking cessation.
Conclusions:
- Smoking cessation is crucial for improving surgical outcomes and preventing tobacco-related conditions.
- Anesthesiologists and surgical teams play a vital role in promoting perioperative smoking cessation.
- Updated guidelines are essential for effective patient management and improved surgical results.
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