Journal
BRITISH JOURNAL OF ANAESTHESIA
Volume 102, Issue 3, Pages 297-306Publisher
ELSEVIER SCI LTD
DOI: 10.1093/bja/aen401
Keywords
alcohol; drinking; complications; postoperative; lifestyle intervention; risk factors; smoking; surgery
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Funding
- IMK Almene Fond
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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.
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