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Perioperative tobacco cessation : a crucial periodto overcome clinical inertia and poor compliance
Deflandre E. , Degey S. , Clerdain A.M. , Jaucot J. , Joris J. , Brichant J.F.
Rev Med Liege 2010, 65(5-6),332-337Abstract : Smoking concerns 30 % of the patients scheduled to anesthesia. Tobacco is one of the most important risk factors for postoperative complications. There are two classes of complications : those induced by the smoking habits on the cardiovascular and the respiratory systems, and those that predispose to other complications by direct interference with processes required for the success of surgery : healing and immune responses. The preoperative period represents a crucial period to overcome clinical inertia and profit of a better compliance. Some strategies applicable by the general practitioner and the anesthesiologist during the preoperative consultation to establish smoking cessation and help the patient to comply with are proposed.
