Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients.


BACKGROUND:Telephone quitlines that provide counseling support are efficacious in helping cigarette smokers quit and have been widely disseminated; currently, they are underused. Surgery represents a teachable moment for smoking cessation, which can benefit surgical outcomes; however, few surgical patients receive smoking cessation interventions. This study developed and tested a clinician-delivered intervention to facilitate quitline use by adult patients scheduled for elective surgery. METHODS:After formative work involving patients and clinicians, a brief intervention was designed to facilitate telephone quitline use. It was then evaluated in a randomized trial of 300 adults scheduled for elective surgery. A control standard brief stop-smoking intervention served as a comparator, with both interventions delivered by clinicians. The primary outcome was the use rate of a quitline accessed through a dedicated toll-free telephone number, with use defined as completing at least one full counseling session. Secondary outcomes included self-reported abstinence from cigarettes at 30 and 90 days postoperatively. RESULTS:Subject characteristics were similar between the two groups. Records from the designated quitline documented that 29 of 149 subjects (19.5%) in the quitline intervention group and 0 of 151 subjects in the control group completed the first full counseling session (P < 0.0001). There were no significant differences in the self-reported point-prevalent and continuous abstinence rates between groups at either 30 or 90 days postoperatively, although rates tended to be higher in the quitline intervention group. CONCLUSIONS:Clinicians can effectively facilitate quitline use by surgical patients. Further work is necessary to evaluate the efficacy of this approach in terms of long-term abstinence from cigarette smoking.






Warner DO,Klesges RC,Dale LC,Offord KP,Schroeder DR,Shi Y,Vickers KS,Danielson DR




Has Abstract


2011-04-01 00:00:00












  • Toxicity and distribution of lidocaine in nonasphyxiated and asphyxiated baboon fetuses.

    abstract::The dosage and blood concentration of lidocaine required to produce central nervous and cardiovascular system toxicity in both nonasphyxiated and asphyxiated fetuses were determined in ten pregnant baboons with fetuses of average gestation of 158 days (term, 185 days). Lidocaine was infused into the fetal jugular vein...


    pub_type: 杂志文章


    authors: Morishima HO,Covino BG

    更新日期:1981-03-01 00:00:00

  • Halothane changes the relationships between lung resistances and lung volume.

    abstract::The authors hypothesized that relaxation of airway smooth muscle by halothane lessens the dependence of airway resistance on lung volume, and that halothane alters the relationship between pulmonary resistance and lung volume by changing both the airway and tissue components of pulmonary resistance. The relationship a...


    pub_type: 杂志文章


    authors: Joyner MJ,Warner DO,Rehder K

    更新日期:1992-02-01 00:00:00

  • Prolonged "phantom" square wave capnograph tracing after patient disconnection or extubation. Potential hazard associated with the Siemens Servo 900c ventilator.

    abstract:BACKGROUND:The authors report on the appearance of misleading square wave "phantom" capnograph tracings for approximately 3 min after disconnection from the Siemens Servo 900c ventilator. A series of experiments are described to examine the mechanism of this phenomenon. METHODS:Patients were ventilated using the Sieme...


    pub_type: 杂志文章


    authors: Ginosar Y,Baranov D

    更新日期:1997-03-01 00:00:00

  • Effects of the nonimmobilizer hexafluroethane on the model membrane dimyristoylphosphatidylcholine.

    abstract:BACKGROUND:Nonimmobilizers are agents that lack anesthetic properties, although their chemical structure is very similar to known anesthetics. The primary action site of both agents, whether at the membrane or target protein level, is still a matter of debate. However, increasing evidence points to the distinct modific...


    pub_type: 杂志文章


    authors: Koubi L,Tarek M,Bandyopadhyay S,Klein ML,Scharf D

    更新日期:2002-10-01 00:00:00

  • Association between Use of Angiotensin-converting Enzyme Inhibitors or Angiotensin Receptor Blockers and Postoperative Delirium.

    abstract:BACKGROUND:Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers improve cognitive function. The authors therefore tested the primary hypothesis that preoperative use of angiotensin inhibitors is associated with less delirium in critical care patients. Post hoc, the association between postoperativ...


    pub_type: 杂志文章


    authors: Farag E,Liang C,Mascha EJ,Argalious MY,Ezell J,Maheshwari K,Esa WAS,Troianos CA,Sessler DI

    更新日期:2020-07-01 00:00:00

  • Opposing actions of etomidate on cortical theta oscillations are mediated by different gamma-aminobutyric acid type A receptor subtypes.

    abstract:BACKGROUND:Cortical networks generate diverse patterns of rhythmic activity. Theta oscillations (4-12 Hz) are commonly observed during spatial learning and working memory tasks. The authors ask how etomidate, acting predominantly via gamma-aminobutyric acid type A (GABAA) receptors containing beta2 or beta3 subunits, a...


    pub_type: 杂志文章


    authors: Drexler B,Roether CL,Jurd R,Rudolph U,Antkowiak B

    更新日期:2005-02-01 00:00:00

  • Discharge Readiness after Tricompartment Knee Arthroplasty: Adductor Canal versus Femoral Continuous Nerve Blocks-A Dual-center, Randomized Trial.

    abstract:BACKGROUND:The authors conducted a randomized, controlled, parallel-arm, superiority study to test the hypothesis that a continuous adductor canal block decreases the time to attain four discharge criteria compared with a continuous femoral nerve block after tricompartment knee arthroplasty. METHODS:Subjects undergoin...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Machi AT,Sztain JF,Kormylo NJ,Madison SJ,Abramson WB,Monahan AM,Khatibi B,Ball ST,Gonzales FB,Sessler DI,Mascha EJ,You J,Nakanote KA,Ilfeld BM

    更新日期:2015-08-01 00:00:00

  • Lidocaine blocks the hyperpolarization-activated mixed cation current, I(h), in rat thalamocortical neurons.

    abstract:BACKGROUND:The mechanisms that underlie the supraspinal central nervous system effects of systemic lidocaine are poorly understood and not solely explained by Na(+) channel blockade. Among other potential targets is the hyperpolarization-activated cation current, I(h), which is blocked by lidocaine in peripheral neuron...


    pub_type: 杂志文章


    authors: Putrenko I,Schwarz SK

    更新日期:2011-10-01 00:00:00

  • The effect of neuromuscular blockade with vecuronium on hemodynamic responses to noxious stimuli in the rat.

    abstract::The effect of neuromuscular blockade with vecuronium on the hemodynamic responses to a noxious stimulus was investigated in male Sprague-Dawley rats. The rats were anesthetized with either halothane (group 1, n = 10), or isoflurane (group 2, n = 10). The maximum values for heart rate and mean arterial pressure during ...


    pub_type: 杂志文章


    authors: Gibbs NM,Larach DR,Schuler HG

    更新日期:1989-08-01 00:00:00

  • Roles of aldosterone and oxytocin in abnormalities caused by sevoflurane anesthesia in neonatal rats.

    abstract:BACKGROUND:The authors sought to determine whether subjects with pathophysiological conditions that are characterized by increased concentrations of aldosterone have increased susceptibility to the side effects of neonatal anesthesia with sevoflurane. METHODS:Postnatal day 4-20 (P4-P20) rats were exposed to sevofluran...


    pub_type: 杂志文章


    authors: Cao W,Pavlinec C,Gravenstein N,Seubert CN,Martynyuk AE

    更新日期:2012-10-01 00:00:00

  • Propofol has no direct effect on sinoatrial node function or on normal atrioventricular and accessory pathway conduction in Wolff-Parkinson-White syndrome during alfentanil/midazolam anesthesia.

    abstract:BACKGROUND:Propofol has been implicated as causing intraoperative bradyarrhythmias. Furthermore, the effects of propofol on the electrophysiologic properties of the sinoatrial (SA) node and on normal atrioventricular (AV) and accessory pathways in patients with Wolff-Parkinson-White syndrome are unknown. Therefore, thi...


    pub_type: 临床试验,杂志文章


    authors: Sharpe MD,Dobkowski WB,Murkin JM,Klein G,Yee R

    更新日期:1995-04-01 00:00:00

  • Fetal morphology in mice exposed to halothane.

    abstract::The teratogenic potential of subanesthetic and anesthetic exposure to halothane was studied in Swiss/ICR mice. Two treatment regimens were employed: daily exposure of males and females for nine weeks prior to conception and on days 1 through 17 of pregnancy; and exposure of females only on days 6 through 15 of pregnan...


    pub_type: 杂志文章


    authors: Wharton RS,Wilson AI,Mazze RI,Baden JM,Rice SA

    更新日期:1979-12-01 00:00:00

  • Are all preterm infants younger than 60 weeks postconceptual age at risk for postanesthetic apnea?

    abstract:BACKGROUND:Preterm and ex-preterm infants are at risk for life-threatening apnea after general anesthesia. The authors attempted to define the postconceptual age beyond which apnea is less likely to occur and to identify the factors that predispose to postanesthetic apnea. METHODS:Ninety-one infants younger than 60 we...


    pub_type: 杂志文章


    authors: Malviya S,Swartz J,Lerman J

    更新日期:1993-06-01 00:00:00

  • Extubation Success Prediction in a Multicentric Cohort of Patients with Severe Brain Injury.

    abstract:BACKGROUND:Patients with brain injury are at high risk of extubation failure. METHODS:We conducted a prospective observational cohort study in four intensive care units of three university hospitals. The aim of the study was to create a score that could predict extubation success in patients with brain injury. RESULT...


    pub_type: 杂志文章,多中心研究


    authors: Asehnoune K,Seguin P,Lasocki S,Roquilly A,Delater A,Gros A,Denou F,Mahé PJ,Nesseler N,Demeure-Dit-Latte D,Launey Y,Lakhal K,Rozec B,Mallédant Y,Sébille V,Jaber S,Le Thuaut A,Feuillet F,Cinotti R,ATLANREA group.

    更新日期:2017-08-01 00:00:00

  • Propofol: relation between brain concentrations, electroencephalogram, middle cerebral artery blood flow velocity, and cerebral oxygen extraction during induction of anesthesia.

    abstract:BACKGROUND:The potential benefit of propofol dose regimens that use physiologic pharmacokinetic modeling to target the brain has been demonstrated in animals, but no data are available on the rate of propofol distribution to the brain in humans. This study measured the brain uptake of propofol in humans and the simulta...


    pub_type: 临床试验,杂志文章


    authors: Ludbrook GL,Visco E,Lam AM

    更新日期:2002-12-01 00:00:00

  • Influence of isoflurane on hypoxic pulmonary vasoconstriction in dogs.

    abstract::The authors studied the influence of locally administered isoflurane anesthesia on the pulmonary vascular response to regional alveolar hypoxia (hypoxic pulmonary vasoconstriction [HPV]) over a range of cardiac outputs (COs) in seven mechanically ventilated, closed-chest dogs. The right lung was ventilated with 100% O...


    pub_type: 杂志文章


    authors: Domino KB,Borowec L,Alexander CM,Williams JJ,Chen L,Marshall C,Marshall BE

    更新日期:1986-04-01 00:00:00

  • Analysis of strategies to decrease postanesthesia care unit costs.

    abstract:BACKGROUND:The goal of this study was to identify interventions that anesthesiologists can make to decrease total costs of a postanesthesia care unit (PACU). METHODS:Data were collected retrospectively from patients who underwent ambulatory surgery at our tertiary care center. RESULTS:Supplies and medications account...


    pub_type: 杂志文章


    authors: Dexter F,Tinker JH

    更新日期:1995-01-01 00:00:00

  • Isoflurane and sevoflurane precondition against neutrophil-induced contractile dysfunction in isolated rat hearts.

    abstract:BACKGROUND:The authors tested the hypothesis that pretreatment with isoflurane or sevoflurane can protect the heart against neutrophil-induced contractile dysfunction. METHODS:Studies were conducted in buffer-perfused and paced isolated rat hearts. Left ventricular developed pressure served as an index of contractilit...


    pub_type: 杂志文章


    authors: Hu G,Salem MR,Crystal GJ

    更新日期:2004-03-01 00:00:00

  • Effects of halothane and isoflurane on beta-adrenoceptor-mediated responses in the vascular smooth muscle of rat aorta.

    abstract:BACKGROUND:Although previous studies have proposed that anesthetics may influence signal transduction systems, their effects on the beta-adrenoceptor-mediated system have not been fully characterized in vascular smooth muscle. The aim of this study was to determine how halothane and isoflurane affect beta-adrenoceptor-...


    pub_type: 杂志文章


    authors: Tanaka S,Tsuchida H

    更新日期:1998-11-01 00:00:00

  • Interaction of intravenous anesthetics with human neuronal potassium currents in relation to clinical concentrations.

    abstract:BACKGROUND:Neuronal voltage-dependent potassium (K) currents are crucial for various cellular functions, such as the integration of temporal information in the central nervous system. Data for the effects of intravenous anesthetics on human neuronal K currents are limited. It was the authors' aim to evaluate the concen...


    pub_type: 杂志文章


    authors: Friederich P,Urban BW

    更新日期:1999-12-01 00:00:00

  • Isoflurane differentially modulates inhibitory and excitatory synaptic transmission to the solitary tract nucleus.

    abstract:BACKGROUND:Isoflurane anesthesia produces cardiovascular and respiratory depression, although the specific mechanisms are not fully understood. Cranial visceral afferents, which innervate the heart and lungs, synapse centrally onto neurons within the medial portion of the nucleus tractus solitarius (NTS). Isoflurane mo...


    pub_type: 杂志文章


    authors: Peters JH,McDougall SJ,Mendelowitz D,Koop DR,Andresen MC

    更新日期:2008-04-01 00:00:00

  • Forty-eight hours of postoperative pain relief after total hip arthroplasty with a novel, extended-release epidural morphine formulation.

    abstract:BACKGROUND:Epidural morphine has proven analgesic efficacy in the postoperative period and is widely used. This study evaluated the efficacy of extended-release epidural morphine (EREM; DepoDur; Endo Pharmaceuticals Inc., Chadds Ford, PA; SkyePharma, Inc., San Diego, CA) in providing pain relief for 48 h after surgery....


    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Viscusi ER,Martin G,Hartrick CT,Singla N,Manvelian G,EREM Study Group.

    更新日期:2005-05-01 00:00:00

  • Postoperative pain facilitates nonthermoregulatory tremor.

    abstract:BACKGROUND:Spontaneous tremor is relatively common in normothermic patients after operation and has been attributed to many causes. The hypothesis that nonthermoregulatory shivering-like tremor is facilitated by postoperative pain was tested. In addition, the effects of intravenous lidocaine on nonthermoregulatory trem...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Horn EP,Schroeder F,Wilhelm S,Sessler DI,Standl T,von dem Busche K,Schulte am Esch J

    更新日期:1999-10-01 00:00:00

  • Alterations in the functional connectivity of frontal lobe networks preceding emergence delirium in children.

    abstract:BACKGROUND:This study aimed to characterize the electroencephalogram in children who emerged with emergence delirium (ED) compared with children without ED using methods that involved the assessment of cortical functional connectivity. METHODS:Children aged 5 to 15 yr had multichannel electroencephalographic recording...


    pub_type: 杂志文章


    authors: Martin JC,Liley DT,Harvey AS,Kuhlmann L,Sleigh JW,Davidson AJ

    更新日期:2014-10-01 00:00:00

  • Systolic blood pressure variation is a sensitive indicator of hypovolemia in ventilated dogs subjected to graded hemorrhage.

    abstract::Systolic pressure variation (SPV) is defined as the difference between the maximum and minimum values of systolic blood pressure following a single positive pressure breath. An increase in the SPV is known to occur clinically during hypovolemia. This study aims to quantify SPV during graded hemorrhage in ventilated do...


    pub_type: 杂志文章


    authors: Perel A,Pizov R,Cotev S

    更新日期:1987-10-01 00:00:00

  • Changes in lung volume and lung-thorax compliance during cardiac surgery in children 11 days to 4 years of age.

    abstract::To examine the effects of cardiac surgery and cardiopulmonary bypass (CPB) on the lung, functional residual capacity (FRC) and lung-thorax compliance were measured at four stages during open heart surgery in 15 children. The patients were anesthetized with fentanyl/droperidol and N2O/O2, paralyzed, and ventilated with...


    pub_type: 杂志文章


    authors: Jonmarker C,Larsson A,Werner O

    更新日期:1986-09-01 00:00:00

  • Halothane and isoflurane inhibit vasodilation due to constitutive but not inducible nitric oxide synthase. Implications for the site of anesthetic inhibition of the nitric oxide/guanylyl cyclase signaling pathway.

    abstract:BACKGROUND:Inhalational anesthetics inhibit the nitric oxide-guanylyl cyclase signaling pathway, but the site of this inhibition is not yet clear. This study was designed to test the hypothesis that receptor activation or downstream signaling events leading to nitric oxide synthase activation are important sites for th...


    pub_type: 杂志文章


    authors: Zuo Z,Tichotsky A,Johns RA

    更新日期:1996-05-01 00:00:00

  • Effects of intravenous or subarachnoid morphine on cerebral and spinal cord hemodynamics and antagonism with naloxone in dogs.

    abstract::In order to elucidate the possible mechanism(s) by which opiates may affect cerebral and spinal circulation, and cerebral metabolism, cerebral blood flow (CBF) and spinal cord blood flow (SCBF) were measured simultaneously following intravenous or subarachnoid administration of morphine in dogs lightly anesthetized wi...


    pub_type: 杂志文章


    authors: Matsumiya N,Dohi S

    更新日期:1983-09-01 00:00:00

  • Period-dependent Associations between Hypotension during and for Four Days after Noncardiac Surgery and a Composite of Myocardial Infarction and Death: A Substudy of the POISE-2 Trial.

    abstract:BACKGROUND:The relative contributions of intraoperative and postoperative hypotension to perioperative morbidity remain unclear. We determined the association between hypotension and a composite of 30-day myocardial infarction and death over three periods: (1) intraoperative, (2) remaining day of surgery, and (3) durin...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Sessler DI,Meyhoff CS,Zimmerman NM,Mao G,Leslie K,Vásquez SM,Balaji P,Alvarez-Garcia J,Cavalcanti AB,Parlow JL,Rahate PV,Seeberger MD,Gossetti B,Walker SA,Premchand RK,Dahl RM,Duceppe E,Rodseth R,Botto F,Devereaux P

    更新日期:2018-02-01 00:00:00

  • Alpha 4 beta 2 neuronal nicotinic acetylcholine receptors in the central nervous system are inhibited by isoflurane and propofol, but alpha 7-type nicotinic acetylcholine receptors are unaffected.

    abstract:BACKGROUND:The mechanisms of action of general anesthetics are not completely understood. Many general anesthetics are reported to potentiate gamma-aminobutyric acid (GABAA) and glycine receptors in the central nervous system (CNS) and to inhibit the muscle-type nicotinic acetylcholine receptor (nAChR). The effects of ...


    pub_type: 杂志文章


    authors: Flood P,Ramirez-Latorre J,Role L

    更新日期:1997-04-01 00:00:00