Mestdag M, Degey S, Deflandre E
Anesthésie-réanimation, université de Liège, Liège, Belgique.
Cabinet médical ASTES, Jambes, Belgique.
Rev Mal Respir. 2024 Mar;41(3):237-247. doi: 10.1016/j.rmr.2024.02.001. Epub 2024 Feb 29.
Tobacco addiction is the leading cause of preventable death. During the perioperative period, patients who smoke are at increased risk of systemic as well as surgical site complications.
Surgery is an ideal time for change of lifestyle habits. It is vital to seize this opportunity to improve the patient's health in the long- as well as the short-term. Smoking cessation should be encouraged in all surgical patients. Initiating smoking cessation combines pharmacological treatment and a behavioral approach. In this field, significant advances have been recorded over the last decade. This review proposes a practical approach that every practitioner will be able to apply.
In this review, we will also examine ongoing research, particularly as regards vaccination and the place of biomarkers.
Smoking represents a major source of health-related complications. Smoking cessation must therefore remain a priority in the management of medical and surgical patients.
烟草成瘾是可预防死亡的主要原因。在围手术期,吸烟患者发生全身及手术部位并发症的风险增加。
手术是改变生活习惯的理想时机。抓住这个机会改善患者的短期和长期健康至关重要。应鼓励所有手术患者戒烟。启动戒烟需要结合药物治疗和行为方法。在这一领域,过去十年取得了重大进展。本综述提出了一种每个从业者都能应用的实用方法。
在本综述中,我们还将研究正在进行的研究,特别是关于疫苗接种和生物标志物的作用。
吸烟是健康相关并发症的主要来源。因此,戒烟必须仍然是医疗和手术患者管理中的优先事项。