The smoking and drinking patient

摘要: Daily smokers and heavy drinkers develop two to four times more complications after major as well minor surgery. Increased postoperative morbidity is probably due tobacco alcohol-related organ dysfunctions which are, however, reversible during abstinence. Preoperative smoking cessation intervention for six eight weeks significantly reduces knee hip replacement. Four of preoperative alcohol improves functions before surgery, colorectal prevention programs are cost-effective. In conclusion, according present evidence the drinking patient should be identified, informed, offered whenever possible.