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

Luxton, Nia A, Shih, Patti and Rahman, Muhammad Aziz 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, vol. 15, no. 11, pp. 1-14, doi: 10.3390/ijerph15112481.

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Title Electronic cigarettes and smoking cessation in the perioperative period of cardiothoracic surgery: views of Australian clinicians
Author(s) Luxton, Nia A
Shih, Patti
Rahman, Muhammad AzizORCID iD for Rahman, Muhammad Aziz orcid.org/0000-0003-1665-7966
Journal name International journal of environmental research and public health
Volume number 15
Issue number 11
Article ID 2481
Start page 1
End page 14
Total pages 14
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2018-11-07
ISSN 1661-7827
1660-4601
Keyword(s) tobacco
preoperative
surgery
electronic cigarette
surgeons
anaesthetists
nurses
physiotherapists
science & technology
life sciences & biomedicine
environmental sciences
public, environmental & occupational health
environmental sciences & ecology
Summary 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.
Language eng
DOI 10.3390/ijerph15112481
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, the authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30115680

Document type: Journal Article
Collections: School of Medicine
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