title: [Smoking cessation as regards anesthesia and surgery].
abstract: Smoking cessation in the perioperative period allows a substantial reduction of a number of anesthetic and surgical complications. They primarily include pathology and adverse reactions of respiratory, cardiovascular and nervous systems and also alterations in wound and bone healing. There is no doubt that long-term (several months) tobacco abstinence reduces the complication risk; however, the significance of short-term smoking cessation is being discussed. Additionally, due to increased patient motivation surgical operation poses a "teachable moment" to be captured for quitting permanently. Interventions for preoperative smoking cessation effectively change smoking behavior and should be widely offered to surgical patients. Oral recommendations should possibly be supported by pharmacotherapy. Nicotine replacement therapy and bupropion proved to be effective and safe in the perioperative period.
authors.affiliation: Zakład Anestezjologii Doświadczalnej, Uniwersytet Medyczny im. Karola Marcinkowskiego, Poznań. hbillert@op.pl
authors.forename: Hanna
authors.initials: H
authors.lastname: Billert
authors.forename: Michał
authors.initials: M
authors.lastname: Gaca
authors.forename: Dariusz
authors.initials: D
authors.lastname: Adamski
mesh_terms: D000758:Anesthesia / Q000379:methods; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care; D016540:Smoking Cessation / Q000379:methods*; D016896:Treatment Outcome; D014945:Wound Healing