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  1. Perioperative respiratory events in smokers and nonsmokers undergoing general anaesthesia.

    Article - En anglais

    Background 

    The prevalence of respiratory diseases in smokers and nonsmokers and the incidence of perioperative respiratory events (PREs) were investigated for patients undergoing general anaesthesia.

    The aim was to quantify well-known problems and to identify possible new associations between smoking and PREs.

    Methods 

    From July 1992 to December 1994, risk factors, demographic data, and PREs were documented by an automatically readable anaesthetic record (ARAR).

    PREs were used as defined by the German Society of Anaesthesiology and Intensive Care.

    Results 

    Of 26 961 subsequent anaesthesias in adults, 7122 (26.4%) were performed in smokers with a prevalence of chronic bronchitis of 23.3% (4.8% in nonsmokers). 1573 PREs occurred in 1397 (5.2%) of all anaesthetics. 459 events concerned intubation problems and problems in technical airway management. 1114 specific respiratory events (SPREs) like re-intubation, laryngospasm, bronchospasm, aspiration, hypoventilation/hypoxaemia and others had a total incidence of 5.5% in smokers and 3.1% in nonsmokers.

    The relative risk (RR) of SPREs was 1.8 in all smokers, 2.3 in young (16-39 years) smokers, and 6.3 in obese young smokers.

    The RR of perioperative bronchospasm was 25.7 in young smokers with chronic bronchitis.

    Conclusion 

    The impact of smoking on perioperative respiratory problems should make anaesthetists take this widespread preoperative condition seriously, particularly in young adults. (...)

    Mots-clés Pascal : Anesthésie générale, Appareil respiratoire pathologie, Tabagisme, Homme, Chirurgie, Epidémiologie, Facteur risque, Allemagne, Europe, Complication, Peropératoire

    Mots-clés Pascal anglais : General anesthesia, Respiratory disease, Tobacco smoking, Human, Surgery, Epidemiology, Risk factor, Germany, Europe, Complication, Intraoperative

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0235476

    Code Inist : 002B27A02. Création : 11/06/1997.