A Prospective Study Of Perioperative Pulmonary Complications In Cigarette Smokers Undergoing Major Surgery Under General Anaesthesia.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Tobacco smoking has always been recognised as an important risk factor for perioperative complications. Despite large scale efforts to create awareness about the hazards of tobacco smoking, this habit has greatly increased in recent times. As anaesthesiologist we encounter smokers frequently in our day to day practice. Many of them do report their smoking status themselves; while a large majority denies this habit and many a times an anaesthesia resident is taken by surprise when complications do arise during the procedure. Perioperative complications in smokers have been described and studied by many people. It has been found that frequency and severity of different specific respiratory events are higher in smokers compared to non smokers. These specific respiratory events include laryngospasm, bronchospasm, aspiration, hypoventilation, hypoxemia, reintubation after planned extubation, and pulmonary edema. Risk of wound infections, marked hemodynamic changes following tracheal intubation also add to the perioperative morbidity of smokers.(1)
Authors and Affiliations
Dr. Tushar Kumar
Keywords
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