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Will "cost containment" decrease safety? Noted observer considers relative safety risks.

J S Gravenstein
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J S Gravenstein. 1996. Will "cost containment" decrease safety? Noted observer considers relative safety risks.. https://doi.org/10.1007/bf02078145

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[The effect of tobacco smoking on risks in connection in anesthesia and surgery. Development of complications and the preventive effect of smoking cessation].

About one third of the patients presenting for surgery are smokers. Smoking has acute and chronic effects on the cardiovascular, respiratory and immune systems, microcirculatory function and drug metabolism. Smoking is related to a wide range of per- and postoperative complications. Short term smoking cessation will probably reduce the disadvantageous acute effects of nicotine and carbon monoxide on the cardiovascular system, while the changes in lung function take about eight weeks to improve. Whether the rate of postoperative complications can be reduced by preoperative smoking cessation is unknown. The preoperative period might be a beneficial time for a greater smoking cessation intervention by an interdisciplinary hospital staff team.

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