SVS and SVN Urge Surgical Teams to Provide Cessation Assistance for Smokers

 

January 10, 2017—The Society for Vascular Surgery (SVS) and the Society for Vascular Nursing (SVN) are encouraging vascular surgery teams to actively assist smokers with smoking cessation before surgery.

According to the SVS and SVN, the reasons for this initiative are twofold:

  • Impending surgery provides many patients with a “teachable moment” when they are more receptive to stopping a bad habit.
  • The evidence is strong that surgery patients have better outcomes and better survival rates if they are nonsmokers or have quit, even for just a short time. Because of the effect of cigarette smoking on the body’s vascular system, nonsmokers are more likely to survive surgery than smokers, need fewer interventions to regain their health, and have a shorter recovery time.

Studies show that patients who quit smoking or do not smoke have a much lower risk of wound complications than those who smoke, and their time on a ventilator can be half as long after surgery.

The SVS and SVN encourage surgical teams to develop staff processes to work with smokers to help them quit before surgery. This assistance could involve referrals to smoking cessation clinics or the use of trained nursing staff. Patients could be provided prescriptions for smoking cessation, advice about nicotine patches, information about smoking cessation hotlines or support groups, or some combination of these.

In the VAPOR pilot trial, which was supported by a grant from the SVS, options that were customized to the patient’s needs worked best. Many published studies have recommendations for smoking cessation processes and products.

In the societies' announcement, SVS President-Elect R. Clement Darling, MD, commented, “We need to find the best ways to help our patients quit smoking before surgery. Given how important quitting smoking can be for our patients and the vascular care we provide, the SVS believes that vascular surgeons have a unique and important responsibility to patients to provide smoking cessation assistance before surgery.”

Dr. Darling continued, “Whether we are providing office-based care in the clinic or invasive care in the inpatient setting, we should encourage our patients to quit. This also means supporting these efforts through referrals to local smoking cessation resources, as well as free, federally supported smoking cessation quit lines such as 800-QUIT NOW. It is up to us to act.”

SVN President Marie Rossi, RN, added, “Ensuring that every vascular surgery patient has access to cessation assistance is an important role for surgical support teams. Our organization joins the SVS in urging all surgical teams to develop processes to ensure that patients have the best chance at healthy outcomes.”

 

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