Stop before the op
How to give smoking cessation advice
- By: Sotiris Mastoridis, Somen Banerjee, Michael Roberts
Adverse surgical outcomes have an important association with smoking, and even a short period of abstinence before surgery can be beneficial. This preoperative period is an ideal opportunity for a smoker to attempt to quit, and rates of success are far greater around this time than at others. For the junior doctor booking the surgery or doing the preoperative assessment, this opportunity to make an impact on the patient’s surgical outcome and on their longer term health simply cannot be missed. Here we look at how this can be done using a structured, evidence based intervention that need not take longer than 30 seconds.
Although we discuss this intervention in the context of patients awaiting surgery, it can and should be used whenever brief smoking cessation intervention is required. This includes general practice and all ward and clinic settings.
Smoking remains the greatest cause of preventable illness and early death