Perioperative Smoking Cessation by the Perioperative Management Center（PERiO）

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  • KOBAYASHI Motomu
    Department of Anesthesiology and Resuscitology, Perioperative Management Center, Okayama University Hospital

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  • 周術期管理センターPERiOにおける周術期禁煙指導

Abstract

<p>Smokers have more intraoperative sputum, more postoperative complications such as wound infection and pulmonary complications, and higher mortality. Preoperative smoking cessation is known to prevent perioperative complications. Surgery is an ideal opportunity to quit smoking, but it is difficult for anesthesiologists alone to provide smoking cessation guidance. Perioperative Management Center, PERiO, in Okayama University Hospital offers outpatient smoking cessation services before surgery using counseling by nurses and smoking cessation aids. An anesthesiologist prescribes smoking cessation medication, and a pharmacist provides medication guidance. For patients who wish to quit smoking, the outpatient smoking cessation program is continued after discharge from the hospital. Multidisciplinary perioperative smoking cessation guidance in collaboration with the perioperative management team is useful, and nurses and pharmacists can play an important role.</p>

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