Surgery and Smoking

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 must be followed to insure the patient's safety during surgery. Patients are often told food or water twelve hours before and to take a shower to minimize the risk of infection. For smokers there are other requirements. Many are instructed to cease smoking for 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 to avoid as many complications as possible.

According to Anesthesiologyinfo.com, smoking does two things to the cardiovascular system which causes many problems for the anesthesiologist and surgeon. By smoking the patient is increasing the carbon monoxide which attaches to the hemoglobin in the blood which will decrease oxygen in the blood. Nicotine will increase the amount of oxygen the body needs putting a stress on the heart and body. The heart will not function properly because of the increased carbon monoxide and blood will not get where it needs to.

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.

Doctors want their patients to lead a healthier life and have a successful surgery, so generally surgeons and physicians ask their patients to quit for two weeks before and two weeks after surgery. Many surgeons have asked for as many as four weeks before and after to insure their patients are fit for surgery. However, ideally physicians and surgeons want their patients to make smoking secession a top priority.

There are many ways for patients to quit smoking. Some of the more common treatments are over the counter, such as the nicotine patch and gum. There are other homeopathic treatments as well such as herbal remedies, acupuncture and hypnosis. While others choose to quit, by using prescriptions such as Zyban and Wellbutrin. Often treatments are combined so the patient is as successful as they can be.

The most important thing to do is talk with your physician and 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.