• A-M Ruppert, F Amrioui, V Fallet, and J Cadranel.
• GRC N(o)04, Theranoscan, Sorbonne université, hôpital Tenon, Assistance publique-hôpitaux de Paris (AP-HP), 75020 Paris, France; UF de tabacologie, service de pneumologie, hôpital Tenon, Assistance publique-hôpitaux de Paris (AP-HP), 4, rue de la Chine, 75970 Paris cedex 20, France; Service de pneumologie, hôpital Tenon, Assistance publique-hôpitaux de Paris (AP-HP), 75970 Paris, France. Electronic address: anne-marie.ruppert@aphp.fr.
• Rev Pneumol Clin. 2018 Jun 1; 74 (3): 154-159.

AbstractSmoking is a public health issue, especially during the perioperative period. Tobacco increases the risk of hospital mortality by 20% and major postoperative complications by 40%. Active smoking is associated with respiratory complications particularly bronchospasm and pneumonia, but also all surgical complications as scar infections, local thrombosis, suture release and delayed bone healing. The perioperative period is an opportunity to stop smoking. Smoking cessation should always be recommended, regardless of the surgery and the date of intervention. All health professionals, doctors, surgeons, anesthetists, but also nurses and physiotherapists, must inform smokers of the benefits of stopping smoking, offer them a dedicated support and a personalized follow-up. Tobacco consultation and the prescription of nicotine replacement increase the rate of smoking cessation. Stopping smoking reduces perioperative complications and is associated with health benefits that increase with time.Copyright © 2018 Elsevier Masson SAS. All rights reserved.

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