Quit Smoking and Elective Surgery

By Patrick Glancy, BCH

Surgery, whether elective or required is something many will face at some point in their lives. Surgery is complicated and can have many side effects. Often the consent forms are numerous pages listing everything which could go wrong. Surgery is complicated enough without the added risks of smoking.

Certain protocols are in place to help insure the patient's safety during surgery. Some of the more common protocols are no food or water twelve hours before and take a shower to minimize the risk of infection. For smokers there is another requirement, no smoking at least two weeks before and two weeks after. Some surgeons may even ask the patient for as long as four weeks before and after the surgery.

Anesthesiologyinfo.com explains some of the serious side effects smoking can have on the body during surgery. The heart will not function properly because smoking increases carbon monoxide causing the blood to not properly circulate. Carbon monoxide will also attach itself to hemoglobin in the blood which will decrease the amount of oxygen flowing through the blood and body. Nicotine makes the body need more oxygen which will put more stress on the heart, lungs and body which is already under distress from the anesthesia.

With surgery, the body is under stress and therefore prone to infections, especially lung infections. However if you are a smoker, the lungs are even more susceptible to collapse. The small airways do not function as they should because of smoke and nicotine which makes them collapse. Mucus production increases because of smoking and the lungs are not able to clear it as quickly as they should because of anesthesia, making the patient more prone to serious lung infections such as pneumonia and chronic coughing. Bronchospsams and other infections in the lungs can be fatal and should be taken seriously. Smoking has been linked to dozens of other side effects, ranging from heart attacks to poor wound healing by as many as six times more in smokers versus non smokers.

Leading a healthier life and having a successful surgery is something all doctors wish for their patients. Doctors do not want their patient to have complications before, during or after surgery. This is why they ask for smokers to at least take a break before going under any anesthesia. Making smoking secession a top priority is something all patients should be doing, regardless if they are having surgery or not.

Over the years, quitting has become easier. This is mainly attributed to more easily available treatments. Some of the most common treatments are found over the counter, such as the nicotine patch and gum. Some patients choose to try homeopathic treatments such as herbal remedies, acupuncture and hypnosis. Prescription drugs such as Zyban and Wellbutrin have gained popularity as well. Often treatments are combined so the patient can be as successful as possible.

The most important thing to do is talk with your physician to discuss your options and find out which plan will suit you best. Since there are many choices and options available to help you quit, there can be no more excuses. Do not wait until you need major surgery before trying to quit, quit before you get there. - 31857

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