Smoking and alcohol intervention before surgery: evidence for best practice

Br J Anaesth. 2009 Mar;102(3):297-306. doi: 10.1093/bja/aen401.

Abstract

Smoking and hazardous drinking are common and important risk factors for an increased rate of complications after surgery. The underlying pathophysiological mechanisms include organic dysfunctions that can recover with abstinence. Abstinence starting 3-8 weeks before surgery will significantly reduce the incidence of several serious postoperative complications, such as wound and cardiopulmonary complications and infections. However, this intervention must be intensive to obtain sufficient effect on surgical complications. All patients presenting for surgery should be questioned regarding smoking and hazardous drinking, and interventions appropriate for the surgical setting applied.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alcohol Drinking / adverse effects*
  • Alcohol Drinking / physiopathology
  • Evidence-Based Medicine
  • Humans
  • Postoperative Complications / prevention & control*
  • Preoperative Care / methods*
  • Smoking / adverse effects*
  • Smoking / physiopathology
  • Smoking Cessation
  • Temperance