Electronic cigarettes and smoking cessation in the perioperative period of cardiothoracic surgery : Views of Australian clinicians

Journal article


Luxton, Nia A., Shih, Patti and Rahman, Muhammad A.. (2018). Electronic cigarettes and smoking cessation in the perioperative period of cardiothoracic surgery : Views of Australian clinicians. International Journal of Environmental Research and Public Health. 15(11), pp. 1-14. https://doi.org/10.3390/ijerph15112481
AuthorsLuxton, Nia A., Shih, Patti and Rahman, Muhammad A.
Abstract

For patients who smoke, electronic cigarettes may offer a pathway to achieve tobacco abstinence and reduce the risk of postoperative complications. Clinicians have a pivotal role in supporting smoking cessation by patients with lung cancer and coronary artery disease throughout the perioperative period of cardiothoracic surgery. However, the views of Australian cardiothoracic clinicians on electronic cigarettes and smoking cessation are unknown. Semi-structured interviews were conducted with 52 cardiothoracic surgeons, anaesthetists, nurses and physiotherapists in six hospitals in Sydney and thematically analysed. Clinicians’ knowledge about electronic cigarettes and the regulatory environment surrounding them was limited. Clinicians believed that: electronic cigarettes, though unlikely to be safe, were safer than tobacco cigarettes; electronic cigarettes may have a harm reduction role in public health; and electronic cigarettes were a potential smoking cessation tool for the extraordinary circumstances of surgery. The professional role of a clinician and their views about electronic cigarettes as a perioperative smoking cessation aid had an influence on future clinician-patient interactions. Electronic cigarette use is increasing in Australia and clinicians are likely to receive more frequent questions about electronic cigarettes as a cessation aid. Stronger guidance for clinicians is needed on the topic of electronic cigarettes and cardiothoracic surgery.

Keywordstobacco; preoperative; surgery; electronic cigarette; surgeons; anaesthetists; nurses; physiotherapists
Year2018
JournalInternational Journal of Environmental Research and Public Health
Journal citation15 (11), pp. 1-14
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph15112481
PubMed ID30405035
Scopus EID2-s2.0-85056400984
PubMed Central IDPMC6266597
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-14
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online07 Nov 2018
Publication process dates
Accepted05 Nov 2018
Deposited15 Nov 2021
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