The most crucial action at this time is to remind the patient of the negative effects of smoking.
Even inhaling smoke has an impact on anesthesia. The ideal time to stop smoking is at least 8 weeks before surgery, but if that is not possible, at least 24 hours. The majority of issues should be avoided with an anxiolytic premedication and smooth, deep anesthesia.
The deleterious effects of nicotine on the circulatory system might cause irregular or unstable blood pressure (hemodynamic instability) when a person is under general anesthesia. Furthermore, it has been demonstrated that smoking has negative effects on blood flow, heart rate, and blood pressure.
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