[Control of peri-operative smoking: A challenge for the pneumologists].
The experts conference on control of smoking in surgical patients led a synthesis of the literature which reveals among smokers 3 times more complications of the surgical site, twice more transfer in intensive care unit, an increase length of hospital stay, a 8-fold increase of the risk of non consolidation of bone, whereas quitting tobacco 6-8 weeks before the surgical procedure and until the end of the consolidation makes disappear surgical over risk related to tobacco smoke. An organization must urgently set up in all surgical units, so that the 2 millions smokers who underwent surgical procedure each year in France may be advertised and help to quit. If the mobilization of the decision makers, health care staff and patient is strong, the excepted health and financial benefit will be high and may contribute to reduce significantly the deficit of French national health insurance organization since 2006. The lung specialists have a key role to play in the implementation of these new practices.
Dautzenberg
B
B
Riquet
M
M
Trosini-Desert
V
V
D005602:France; D006282:Health Personnel; D006801:Humans; D007348:Insurance, Health; D007362:Intensive Care Units; D007902:Length of Stay; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D015272:Pulmonary Medicine; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012907:Smoking / Q000009:adverse effects* / Q000191:economics; D016540:Smoking Cessation; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D013997:Time Factors