Surgerymayalreadyfeellikeastressful time.Youmaybeconcernedthatitwillbe toodifficulttomanagewithoutsmoking, thatnicotinewithdrawalmaymakerecovery harder,orthatthereisjusttoomuchgoing ontofocusonquitting.
Weworry,too.Our patients who continue to smokearemorelikelyto:
• Heal more slowly.
• Havemorebreathingproblems during and after surgery.
Thechoicetostopsmokingbeforesurgeryis yours.Westronglyadviseyoutostopandcan helpyoualongtheway.
Whatever you decide, remember that you cannot smoke while you are in the hospital for your surgery.
Even quitting for a bit can help you avoid complications and heal faster.
Stop at least 24 hours before surgery and don’t smoke for at least one week after to reduce your chances of post- surgery infections.
• Within 12 hours of not smoking, your heart and lungs start working better.
• Smoking reduces the amount of oxygen your blood carries to the rest of your body. This increases the chance that your surgical incision will get infected.
What’s your next step? Talk with your surgeon about Wellness Coaching for a plan, support, and medications.
Surgery is a great time to quit smoking.
People who quit before surgery:
• Have fewer cravingsforcigarettes.
• Are more thantwiceaslikelytostop
for good than at other times.
• Healbetter andfaster after surgery.
• Have fewer breathing and circulation
problems during and after surgery.
We have helped thousands of patients
quit successfully. We’re confident that
you can, too.
What’s your next step? Talk with your
surgeon about Wellness Coaching for
a plan, support, and medications to
help you quit.
for a bit
How does this help?
What are the risks?
What are the benefits?
•Assess what other resources are needed
•Identify a pilot site
•Get buy-in from the institutional leadership
To sustain the activity, the authors
recommend the following:
• Have regular team meetings
•Continue to gather patient feedback
•Engage the frontline staff
•Adhere to a continuous measurement
•Regularly monitor the activity, and
communicate findings based on data
• Celebrate achievements
•Institute best practices ♦
1. Chakravarthy U, Wong TY, Fletcher A, et al. Clinical risk factors for
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2. Warner DO. Helping surgical patients quit smoking: Time to bring it
home. Anesth Analg. 2015;120( 3):510-512.
3. Lee SM, Landry J, Jones PM, Buhrmann O, Morley-Forster P. Long-term quit rates after a perioperative smoking cessation randomized
controlled trial. Anesth Analg. 2015;120( 3):582-587.
4. Musallam KM, Rosendaal FR, Zaatari G, et al. Smoking and the risk of
mortality and vascular and respiratory events in patients undergoing
major surgery. JAMA Surg. 2013;148( 8):755-762.
5. Nasell H, Adami J, Samnegard E, Tonnesen H, Ponzer S. Effect of
smoking cessation intervention on results of acute fracture surgery: A
randomized controlled trial. J Bone Joint Surg Am. 2010; 92( 6):1335-1342.
6. Scolaro JA, Schenker ML, Yannascoli S, Baldwin K, Mehta S, Ahn
J. Cigarette smoking increases complications following fracture: A
systematic review. J Bone Joint Surg Am. 2014; 96( 8):674-681.
7. Shi Y, Ehlers S, Hinds R, Baumgartner A, Warner DO. Monitoring
of exhaled carbon monoxide to promote preoperative smoking
abstinence. Health Psychol. 2013; 32( 6):714-717.
8. Nolan MB, Warner DO. Safety and efficacy of nicotine replacement
therapy in the perioperative period: A narrative review. Mayo Clin Proc.
2015; 90( 11):1553-1561.
9. Warner DO, Patten CA, Ames SC, Offord K, Schroeder D. Smoking
behavior and perceived stress in cigarette smokers undergoing elective
surgery. Anesthesiology. 2014; 100( 5):1125-1137.
PRESTON PERIOPERATIVE PATIENT TOBACCO CARDS
Smoking and Surgery: Your Choices
You need to make a decision
about how to handle smoking around the
time of your surgery. Here is information
to help you make that decision.
READ both sides of these cards
CONSIDER which choice is right for you
GIVE that card to your doctor