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Den rygende og drikkende patient

Forfatter(e)
Forsknings- og centerleder Hanne Tønnesen & overlæge Ann M. Møller H:S Bispebjerg Hospital, Klinisk Enhed for Sygdomsforebyggelse/WHO Collaborating Centre for Evidence-Based Health Promotion in Hospitals, og Amtssygehuset i Herlev, Forsknings- og Udviklingsenheden, Anæstesiologisk Afdeling
Reference: 
Ugeskr Læger 2006;168(49):4293-4296
Blad nummer: 
Sidetal: 
4293-4296
Summary The smoking and drinking patient: Ugeskr Læger 2006;168(49):4293-4296 Daily smokers and heavy drinkers develop two to four times more complications after major as well as minor surgery. Increased postoperative morbidity is probably due to tobacco and alcohol-related organ dysfunctions which are, however, reversible during abstinence. Preoperative smoking cessation intervention for six to eight weeks significantly reduces postoperative complications after knee and hip replacement. Four weeks of preoperative alcohol intervention significantly improves organ functions before surgery, and reduces complications after colorectal surgery. Preoperative prevention programs are cost-effective. In conclusion, according to present evidence the smoking and drinking patient should be identified, informed, and offered preoperative prevention whenever possible.
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