Peters Shannon M, Pabelick Christina M, Warner David O
Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
Paediatr Anaesth. 2013 Dec;23(12):1213-8. doi: 10.1111/pan.12277. Epub 2013 Oct 12.
Cigarette smoking and secondhand smoke exposure (SHS) increase the risk of perioperative complications. Traditionally, anesthesiologists have limited involvement in tobacco control.
To develop and disseminate an educational curriculum that educates pediatric anesthesia fellows in tobacco control.
After IRB approval, an online survey was disseminated to pediatric anesthesiology fellowship directors.
Thirty-one surveys were completed. Most report that they ask pediatric patients about tobacco use. A majority advise their patients who smoke about the health effects of smoking, but only 40% advise children to quit, and the majority never provide educational materials to assist in smoking cessation. Half reported that they sometimes or always ask about SHS. Approximately one-third never advise about the ill effects of SHS, nearly half never advise parents to stop smoking, and the majority never provide educational material about quitting to parents. Two-thirds felt that it is their responsibility to advise pediatric patients not to smoke, but less than half felt the same sense of responsibility about advising parents not to smoke. Approximately two-thirds believe that fellowship programs should provide education about the effects of smoking in the perioperative period and the effects of SHS exposure, but few programs do. Almost all would implement a free teaching module about SHS exposure and tobacco control as part of fellowship education.
Many pediatric anesthesiology fellowship directors agree that exposure to cigarette smoke adversely impacts patients in the perioperative period, but few participate in tobacco control, and issues germane to tobacco control are not consistently addressed.
吸烟和接触二手烟会增加围手术期并发症的风险。传统上，麻醉医生在烟草控制方面的参与有限。
开发并传播一门教育课程，对儿科麻醉专科住院医生进行烟草控制方面的教育。
经机构审查委员会（IRB）批准后，向儿科麻醉专科培训项目主任发放了一份在线调查问卷。
共完成31份调查问卷。大多数人报告说，他们会询问儿科患者的吸烟情况。大多数人会向吸烟的患者告知吸烟对健康的影响，但只有40%的人建议儿童戒烟，而且大多数人从未提供有助于戒烟的教育材料。一半的人报告说，他们有时或总是会询问二手烟接触情况。约三分之一的人从未就二手烟的不良影响提出建议，近一半的人从未建议家长戒烟，而且大多数人从未向家长提供有关戒烟的教育材料。三分之二的人认为，建议儿科患者不吸烟是他们的责任，但不到一半的人对建议家长不吸烟有同样的责任感。约三分之二的人认为，专科培训项目应该提供关于吸烟在围手术期的影响以及二手烟接触影响的教育，但很少有项目这样做。几乎所有人都愿意实施一个关于二手烟接触和烟草控制的免费教学模块，作为专科培训教育的一部分。
许多儿科麻醉专科培训项目主任都认同，接触香烟烟雾会对围手术期的患者产生不利影响，但很少有人参与烟草控制，与烟草控制相关的问题也没有得到持续解决。
