Study of Peri-Operative Complications in Asymptomatic Smokers Posted for Day Care Surgery

Pati, Bhabani Sankar; Rath, Arun; Mishra, Shakti Bedanta

doi:10.14260/jemds/2017/558

jemds

2017

DOI: 10.14260/jemds/2017/558

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Study of Peri-Operative Complications in Asymptomatic Smokers Posted for Day Care Surgery

Bhabani Sankar Pati¹,

Arun Rath²,

Shakti Bedanta Mishra³

Abstract: BACKGROUNDCigarette smoking is a preventable cause of peri-operative respiratory complications, wound infection, myocardial infarction, stroke, and mortality. Smoking is associated with increased peri-operative complications. The primary objective of the study is to compare the nature, incidence of intra-operative & post-operative complication in asymptomatic smokers subjected to day care surgery under general anaesthesia to that of non-smokers in our hospital.

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2022

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The relationship between smoking dependence, exposure to cigarette smoke, carboxyhemoglobin and perioperative complications in patients who underwent laparoscopic cholecystectomy under general anesthesia

Eminoğlu

Özgünay

2022

The European Research Journal

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Objectives: The aim of this study; to determine the effects of preoperative smoking dependence and noninvasively measured carboxyhemoglobin (COHb) levels on perioperative complications in patients who underwent elective laparoscopic cholecystectomy. Methods: Ninety patients (Group I: smoker, Group II: non-smoker, and Group III: passive smoker) who underwent laparoscopic cholecystectomy under general anesthesia were studied. The level of dependence of smokers was evaluated with the Fagerstrom Test for Nicotine Dependence (FNBT). Preoperative COHb level was determined with a pulse CO-oximeter by placing a sensor on the fingertip. Respiratory complications in the perioperative and recovery room and Modified Aldrete Score (MAS) in the recovery room were recorded as 5th, 10th and 15th min. Results: Female gender was significantly higher in Groups II and III. Significant increases were noted in Group I in terms of increased perioperative secretion and incidence of bronchospasm. In the recovery room, the increase in MAS 5th min in Group I and MAS 10th min and 15th min in Group III was significantly lower. In Group I, positive correlations between the COHb level and the number of cigarettes smoked and the FNBT level, and a negative correlation between MAS and the number of hours past after the last cigarette smoked were determined. In Group II, the COHb level correlated positively with the number of cigarette smokers at home and negatively with MAS. All these correlations were statistically significant. Conclusions: It was demonstrated that cigarette smoking increased the incidence of perioperative respiratory complications under general anesthesia. Preoperative COHb level estimated by the pulse CO-oximeter can be used as an indicant of the potential risk of perioperative repiratory complications.

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The relationship between smoking dependence, exposure to cigarette smoke, carboxyhemoglobin and perioperative complications in patients who underwent laparoscopic cholecystectomy under general anesthesia

Eminoğlu

Özgünay

2022

The European Research Journal

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Study of Peri-Operative Complications in Asymptomatic Smokers Posted for Day Care Surgery

Cited by 1 publication

References 18 publications

The relationship between smoking dependence, exposure to cigarette smoke, carboxyhemoglobin and perioperative complications in patients who underwent laparoscopic cholecystectomy under general anesthesia

The relationship between smoking dependence, exposure to cigarette smoke, carboxyhemoglobin and perioperative complications in patients who underwent laparoscopic cholecystectomy under general anesthesia

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