Treating tobacco use in surgical patients is feasible and effective, but implementation into routine clinical practice can he challenges - this review provides a useful approach. Nolan MB, Warner DO: Perioperative tobacco use treatments: Putting them into practice. BMJ 2017; 358: j3340
The concept of Multimodal Perianesthesia Tobacco Treatment provides a useful toolbox of techniquest to help surgical patients quit. Warner DO: Anesthesiologists and the other pandemic: Tobacco use. Anesthesiology 2022; 137: 484-508
Compared with never smokers, health care costs during the first year after hospital discharge for an inpatient surgical procedure are higher in both former and current smokers. Warner DO, Borah BJ, Moriarty J, Schroeder DR, Shi Y, Shah ND. Smoking status and health care costs in the perioperative period: a population-based study. JAMA Surg. 2014 Mar;149(3):259-66.
Smokers are at increased risk for complications such as wound infections that can significantly increase hospital costs, and providing tobacco treatment before surgery is a cost-effective means of reducing these costs. McCaffrey N, Higgins J, Greenhalgh E, White S, Graves N, Myles P, et al. A systematic review of economic evalutations of peroperative smoking cesation for preventing surgical complications. Int J Surg 2022,104:106742