Literature DB >> 12753442

Increased respiratory symptoms following surgery in children exposed to environmental tobacco smoke.

Robert A Drongowski1, Donald Lee, Paul I Reynolds, Shobha Malviya, Carroll M Harmon, James Geiger, Joseph L Lelli, Arnold G Coran.   

Abstract

OBJECTIVE: The aim of this study was to determine if children exposed to environmental tobacco smoke (ETS) via parental smoking (ETS+) developed more respiratory symptoms resulting in longer recovery times following surgical outpatient procedures compared with children of nonsmoking parents (ETS-).
METHODS: One hundred and forty six children (4.9 +/- 3 years) undergoing inguinal hernia repair were prospectively studied. Parental smoking behaviour was determined by survey and urine analysis. Seven respiratory symptoms were evaluated during induction and emergence from anaesthesia and during the recovery room (RR) stay.
RESULTS: Fifty-seven (39%) families admitted a smoking history while 89 (61%) denied it. This strongly correlated with the cotinine/creatinine ratio (Pearson correlation coefficient = 0.76; P = 0.01). ETS exposure was associated with an increased frequency of RR symptoms (ETS+: 56%; ETS-: 31%; P = 0.007).
CONCLUSIONS: In children undergoing general anaesthesia for inguinal hernia repair, ETS exposure was associated with an increased frequency of respiratory symptoms during emergence from anaesthesia and during postoperative recovery.

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Year:  2003        PMID: 12753442     DOI: 10.1046/j.1460-9592.2003.01100.x

Source DB:  PubMed          Journal:  Paediatr Anaesth        ISSN: 1155-5645            Impact factor:   2.556


  6 in total

1.  Passive Smoking Also Affects Recovery from Anaesthesia.

Authors:  Ömer Lütfi Erhan; Abdurrahman İleri; Oğuz Kağan Bulut; Ayşe Belin Özer
Journal:  Turk J Anaesthesiol Reanim       Date:  2017-04-27

2.  Parent quit attempts after counseling to reduce children's secondhand smoke exposure and promote cessation: main and moderating relationships.

Authors:  Sandy Liles; Melbourne F Hovell; Georg E Matt; Joy M Zakarian; Jennifer A Jones
Journal:  Nicotine Tob Res       Date:  2009-10-29       Impact factor: 4.244

3.  Screening by pulse CO-oximetry for environmental tobacco smoke exposure in preanesthetic children.

Authors:  Kathryn Cardwell; Zhaoxing Pan; Rebecca Boucher; Jeannie Zuk; Robert H Friesen
Journal:  Paediatr Anaesth       Date:  2012-05-15       Impact factor: 2.556

Review 4.  Impact of environmental tobacco smoke exposure on anaesthetic and surgical outcomes in children: a systematic review and meta-analysis.

Authors:  Christopher Chiswell; Yasmin Akram
Journal:  Arch Dis Child       Date:  2016-07-14       Impact factor: 3.791

5.  Revisiting the applicability of adult early post-operative nausea and vomiting risk factors for the paediatric patient: A prospective study using cotinine levels in children undergoing adenotonsillectomies.

Authors:  Destiny F Chau; Arundathi Reddy; Patrick Breheny; Anna Rebecca Young; Eric Ashford; Megan Song; Christina Zhang; Tammy Taylor; Abbas Younes; Turaj Vazifedan
Journal:  Indian J Anaesth       Date:  2017-12

Review 6.  Perioperative medical management of patients with COPD.

Authors:  Marc Licker; Alexandre Schweizer; Christoph Ellenberger; Jean-Marie Tschopp; John Diaper; François Clergue
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2007
  6 in total

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