Cigarette Smoking 

 

 

Considerations

 

  • Limited respiratory reserve

  • Methemoglobinemia, carboxyhemoglobinemia, nicotinic induced tachycardia & increased MVO2

  • ↑ risk perioperative respiratory complications:

    • Atelectesis

    • Hypoxemia

    • Bronchospasm

  • Associated diseases:

    • Chronic obstructive lung disease

    • Coronary artery disease

    • Reactive airways

    • Lung cancer

 

 

Goals

 

  • Education regarding benefits of pre-operative smoking cessation when possible

  • Expect improved oxygen delivery by 24-48 hrs, ↑ mucous production & ↑ expectoration from 2 days to 4 weeks, improved postoperative infection rate due to improved tissue oxygenation, reduced risk of pulmonary complications after 8 weeks

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