title: Guidelines on smoking management during the perioperative period.
abstract: Smoking is a public health problem of particular importance during the perioperative period, since it exposes patients scheduled for surgery to risk increases of 20% in hospital mortality and 40% in major postoperative complications. In addition, current smoking increases almost all specific surgical complications. The perioperative period offers a genuine opportunity for smoking cessation. The rate of preoperative smoking cessation can be increased significantly by offering behavior management and the prescription of a nicotine substitute before any scheduled surgical intervention. Preoperative smoking cessation should be routinely recommended independently of the timing of the intervention, even though the benefits increase in proportion with the length of cessation. All professionals of the care pathway (general practitioners, surgeons, anesthetists-intensivists, caregivers) must inform smokers of the positive effects of smoking cessation and offer them dedicated management and personalized follow-up. In children, cessation of parental smoking or removal of the child from environmental tobacco smoke as long before surgery as possible is indispensable.
authors.affiliation: Unité d'anesthésiologie, Institut Claudius-Regaud, IUC Toulouse-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Pierre
authors.affiliation: Service de chirurgie thoracique, hôpital européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Rivera
authors.affiliation: Unité de coordination de tabacologie, pôle médecine d'organes et cancérologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.
authors.forename: Béatrice
authors.initials: B
authors.lastname: Le Maître
authors.affiliation: Unité de coordination de tabacologie, service de pneumologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Ruppert
authors.affiliation: Département d'anesthésie réanimation chirurgicale, hôpital Central-Poste, 54035 Nancy, France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Bouaziz
authors.affiliation: Unité coordination de tabacologie, service de pneumologie, CHU de Nancy, 54035 Nancy, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Wirth
authors.affiliation: Service de chirurgie plastique, clinique médipôle Garonne, 31000 Toulouse, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Saboye
authors.affiliation: Chirurgie orthopédique et traumatologique, hôpital Saint-Antoine, UPMC Paris VI, 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Sautet
authors.affiliation: Service d'orthopédie et de traumatologie, hôpital Saint-Antoine, AP-HP, UPMC Paris VI, 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.
authors.forename: Alain Charles
authors.initials: AC
authors.lastname: Masquelet
authors.affiliation: Département d'anesthésie, clinique Médipôle Garonne, réseau de chirurgie pédiatrique Midi-Pyrénées, 37, allée Jules-Guesde, 31000 Toulouse, France.
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Tournier
authors.affiliation: Département de pneumologie, hôpitaux de Brabois, CHU de Nancy, 54035 Nancy, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Martinet
authors.affiliation: Service de chirurgie plastique et reconstructrice, CHU de Toulouse Rangueil, 1, avenue du professeur Jean-Poulhès, 31059 Toulouse, France.
authors.forename: Benoît
authors.initials: B
authors.lastname: Chaput
authors.affiliation: Pôle réanimations-anesthésie et Samu, CHU de Rouen, Normandy University, 76031 Rouen cedex, France. Electronic address: Bertrand.Dureuil@chu-rouen.fr.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Dureuil
mesh_terms: D001521:Behavior Therapy; D066300:Electronic Nicotine Delivery Systems; D017408:Guidelines as Topic; D006801:Humans; D009538:Nicotine / Q000627:therapeutic use; D018722:Nicotinic Agonists / Q000627:therapeutic use; D019990:Perioperative Care / Q000379:methods*; D059035:Perioperative Period; D012017:Referral and Consultation; D012907:Smoking; D016540:Smoking Cessation; D000073869:Tobacco Smoking
chemical_list: D018722:Nicotinic Agonists; D009538:Nicotine