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Postoperative impact of regular tobacco use, smoking or snuffing, a prospective multi-center study
Sahlgrenska University Hospital.
Högskolan i Skövde, Institutionen för vård och natur.
Örebro University Hospital.
Karolinska Institute.
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2010 (Engelska)Ingår i: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 54, nr 3, s. 321-327Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The aim was to study the effects of different tobacco administration routes on pain and post-operative nausea and vomiting (PONV), following three common day surgical procedures: cosmetic breast augmentation (CBA), inguinal hernia repair (IHR) and arthroscopic procedures (AS). We have prospectively investigated the effects of regular tobacco use in ambulatory surgery.

Methods: The 355 allocated patients were followed during recovery and the first day at home.

Results: Thirty-two percent of the patients used tobacco regularly, 33% of CBA, 27% of IHR and 34% of AS. Pain was well controlled in the post-anesthesia care unit at rest; during ambulation, 37% of all patients reported VAS>3. Tobacco use had no impact on early post-operative pain. Post-operative nausea was experienced by 30% of patients during recovery while in hospital. On day 1, 14% experienced nausea. We found a significant reduction of PONV among tobacco users (smoking and/or snuffing). Smoking or snuffing reduced the risk of PONV by nearly 50% in both genders on the day of surgery and at the first day at home. The reduction of PONV was equal, regardless of tobacco administration routes.

Conclusion: We found that regular use of tobacco, both by smoking and snuffing, had a significant effect on PONV during the early post-operative period. Non-tobacco users undergoing breast surgery were found to have the highest risk for PONV. We could not see any influence of nicotine use on post-operative pain. Thus, it seems of value to identify regular tobacco use, not only smoking, as a part of the pre-operative risk assessment.

Ort, förlag, år, upplaga, sidor
The Acta Anaesthesiologica Scandinavica Foundation , 2010. Vol. 54, nr 3, s. 321-327
Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
Medicin
Identifikatorer
URN: urn:nbn:se:his:diva-3646DOI: 10.1111/j.1399-6576.2009.02140.xISI: 000274313000009PubMedID: 19860750Scopus ID: 2-s2.0-76349120814OAI: oai:DiVA.org:his-3646DiVA, id: diva2:291644
Tillgänglig från: 2010-02-02 Skapad: 2010-02-02 Senast uppdaterad: 2017-12-12Bibliografiskt granskad

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Warrén-Stomberg, Margareta

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