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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
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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.

Journal of Anesthesia
|August 1, 2022
PubMed
Summary

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.

Keywords:
Perioperative carePostoperative complicationsSmoking cessationSmoking reductionSurgeons

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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.