Zachariah Sunitha K, Basker Sujatha
Department of Anaesthesia, Christian Medical College, Vellore 632004.
J Indian Med Assoc. 2012 Oct;110(10):736-8, 740.
Even though there is a general awareness about smoking and its hazards, the problems associated with this unhealthy habit on a patient coming for a surgical procedure which needs anaesthesia is not that widely discussed. This article tries to highlight the importance of cessation of smoking prior to anaesthesia and its effects on various organ systems. Smoking whether active or passive is a well known risk factor for the general health. This in turn has a bad impact on the safety of anaesthesia. There are more than 4000 chemicals in cigarette smoke, including 43 known cancer causing compounds and 400 other toxins, some of which are harmful to the smoker. Some constituents cause cardiovascular problems, increase the blood pressure, heart rate and the systemic vascular resistance. Some cause respiratory problems, Interfering with oxygen uptake, transport and delivery.
尽管人们普遍认识到吸烟及其危害，但对于接受需要麻醉的外科手术的患者而言，这种不健康习惯所带来的问题却并未得到广泛讨论。本文试图强调麻醉前戒烟的重要性及其对各个器官系统的影响。吸烟，无论是主动吸烟还是被动吸烟，都是众所周知的影响总体健康的风险因素。这反过来又对麻醉安全产生不良影响。香烟烟雾中含有4000多种化学物质，包括43种已知的致癌化合物和400种其他毒素，其中一些对吸烟者有害。一些成分会导致心血管问题，增加血压、心率和全身血管阻力。一些会导致呼吸问题，干扰氧气的摄取、运输和输送。
