title: [Management of smoking in the perioperative period: survey of practices amongst anaesthetists in Lorraine].
abstract: BACKGROUND
  Evidence shows that smoking leads to more perioperative complications. Smoking cessation before surgery reduces this postoperative morbidity. The French Society of Anaesthesia and Intensive Care published recommendations on this subject in 2005. We wanted to assess knowledge and practice amongst anaesthetists in Lorraine as regards the management of smoking in the perioperative period.
  
  
  METHODS
  We conducted an internet-based survey of 365 anaesthetists in the Lorraine region during November and December 2011. At the same time, we also surveyed patients attending pre-assessment clinic at the CHU hospital, Nancy.
  
  
  RESULTS
  Half the practitioners surveyed were aware of the 2005 guidelines. Most pre-assessment clinics do not display posters warning of the perioperative hazards of smoking. The need for smoking cessation advice as a bare minimum is acknowledged by 47.9% of experienced practitioners; 76.3% of anaesthetists claim to offer advice occasionally, frequently or systematically. On the other hand, only 17% of the patients surveyed report receiving such advice.
  
  
  CONCLUSIONS
  Despite published guidelines on the benefits of smoking cessation prior to surgery, Lorraine anaesthetists fail to systematically advise their patients in this regard. We believe there is a need to improve the management of these patients, either through the development of smoking cessation protocols locally or through patient referral to a specialised clinic.
authors: Département d'anesthésie-réanimation, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France.
authors: V
authors: V
authors: Derlon
authors: N
authors: N
authors: Wirth
authors: P-Y
authors: PY
authors: Martinet
authors: U
authors: U
authors: McNelis
authors: L
authors: L
authors: Minary
authors: S
authors: S
authors: Boileau
authors: H
authors: H
authors: Bouaziz
mesh_terms: D000758:Anesthesia; D002248:Carbon Monoxide / Q000097:blood; D015444:Exercise; D005260:Female; D005602:France; D017408:Guidelines as Topic; D019538:Health Care Surveys; D006801:Humans; D020407:Internet; D008297:Male; D019990:Perioperative Care; D012017:Referral and Consultation; D012907:Smoking / Q000523:psychology / Q000628:therapy*; D016540:Smoking Cessation
chemical_list: D002248:Carbon Monoxide