Surgical operation: imperative nicotinic fast!

Several hours before an operation, one asks us more nothing to drink nor to eat. But it is also essential not to more smoke several days before the fateful day. Why the “nicotinic fast” is recommended before a surgery? The explanations are very concrete!
The operational risk goes up out of arrow in the event of nicotinism
Work relating to the operational risks generated by the nicotinism is numerous and the evidence today is well documented.
One can for example retain the principal following facts.
Among smokers:
• the risk of mortality is multiplied by to 2,56;
• the risk to be transfused double;
• the risk of infection increases by 50%;
• the triple coronary accident risk;
• the risks on the level of the operational site are multiplied by 8: infectious complications of the cicatrization, vascular thromboses, absence of osseous consolidation, etc

Reversible complications with the stop
Good news, it is not a fate: the stop of tobacco 6 to 8 weeks before the intervention and until complete cicatrization cancels the excess of operational risks related to the nicotinism.
Even if the evidence is fewer, the stop of the tobacco on a date closer to the intervention is also accompanied by benefit, even if they are less.

To stop smoking before an surgical operation must become a reflex among patients and the doctors, which have to have to inform and incite.
In reality, except the anesthetists, still few doctors and/or surgeons ask their patient very little if he smokes, require of them to stop several weeks before an surgical operation and even to less propose a help with weaning them. It is regrettable. Then take the initiative, speak with your doctor.

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