Anesthesia Tutorial of the Week Quiz

1) Passive smoking is associated with an increased risk of morbidity and mortality

2) Electronic cigarettes (e-cigarettes) are a healthy alternative to cigarette smoking

3) Bupropion (Zyban®) is the most effective pharmacological smoking cessation therapy available

4) Smoking cessation for 4 weeks prior to surgery lowers the risk of wound complications

5) About 15% of smokers are able to quit spontaneously, without additional support.

6) Smokers report higher postoperative pain scores than non-smokers

7) Smoking is a risk factor for postoperative nausea and vomiting (PONV)

8) Patients who smoke have an increased risk of perioperative major adverse cardiac events (MACE)

9) 60% of lung cancer deaths are related to active or passive smoking

10) Active and passive smokers have an increased risk of perioperative respiratory adverse events (PRAE)

11) Cigarette smoke inhibits the cytochrome P450 (CYP450) enzyme system

12) Anaesthetists should only ask a patient of their smoking history if there is a reasonable belief that they smoke cigarettes

13) The anaesthetist is best placed to coordinate perioperative smoking cessation management

14) Smoking is the greatest preventable cause of cardiovascular morbidity and mortality

15) There is evidence that quitting smoking hours to days prior to surgery increases the patient’s risk of respiratory complications

16) Varenicline (Champix®) and Bupropion (Zyban®) should not be used in pregnant patients or those aged under 18-years

17) Brief advice is as effective as intensive counselling for achieving permanent smoking cessation

18) Rapid smoking aversive therapy is one of the most effective non-pharmacological cessation therapies available

19) Carboxyhaemoglobin promotes increased tissue oxygen delivery through a rightward shift in the oxygen-haemoglobin dissociation curve

20) Nicotine replacement therapies (NRT) are the most commonly used class of pharmacological smoking cessation therapy in Australia and New Zealand