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SPECIAL ARTICLE
Year : 2009  |  Volume : 53  |  Issue : 5  |  Page : 618-627

Tobacco Interventions and Anaesthesia - A Review


Professor, Dept of Anaesthesiology, Lady Hardinge Medical College, Smt. Sucheta Kriplani & Kalawati Saran Childrens Hospital, New Delhi, 110001, India

Correspondence Address:
Usha Saha
B5/108, Safdarjung Enclave, New Delhi 110029
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640112

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Tobacco use is the leading preventable agent of death in the world. It is manufactured on a large scale in India and has a huge international market also. Death toll from tobacco use is on the rise. Use of tobacco is also increasing esp. in developing countries, in teenagers& in women, despite government, WHO and intervention by other statutory bodies. Prolonged use of tobacco or its products, as smoke or chew, endows significant risk of developing various diseases. With advances in surgical and anaethesia techniques& prolonged life expectancy, anaesthetist will be faced with management of these patients. Tobacco consumption affects every major organ system of the body; esp. lung, heart and blood vessels. Perioperative smoking cessation can significantly reduce the risk of postoperative complica­tions& duration of hospital stay. Anaesthetist can play an important role in motivating these patients to quit smoking preoperatively by providing brief counselling and nicotine replacement therapy in reluctant quitters. More of concern is the effect of passive smoking (second& third hand smoke) on non smokers. This is a review of tobacco& its products, their health consequences, diseases caused, anaesthetic consider­ations& their role in helping these patients quit smoking Preventing nicotine addiction and improving smoking cessa­tion strategies should be the priority and despite these being only partially successful, strong measures at all levels should he continued& enforced.


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