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












  • Epidural Labor Analgesia-Fentanyl Dose and Breastfeeding Success: A Randomized Clinical Trial.

    abstract:BACKGROUND:Breastfeeding is an important public health concern. High cumulative doses of epidural fentanyl administered for labor analgesia have been reported to be associated with early termination of breastfeeding. We tested the hypothesis that breastfeeding success is adversely influenced by the cumulative epidural ...


    pub_type: 杂志文章,随机对照试验


    authors: Lee AI,McCarthy RJ,Toledo P,Jones MJ,White N,Wong CA

    更新日期:2017-10-01 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

  • Effects of oral clonidine premedication on plasma glucose and lipid homeostasis associated with exogenous glucose infusion in children.

    abstract:BACKGROUND:Oral clonidine may influence plasma glucose and lipid homeostasis by modulating endocrinologic responses to surgical stress. The effect of oral clonidine premedication on plasma glucose and lipid homeostasis associated with exogenous glucose infusion were investigated in children undergoing minor surgery. M...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Nishina K,Mikawa K,Maekawa N,Shiga M,Obara H

    更新日期:1998-04-01 00:00:00

  • Pronociceptive effects of remifentanil in a mouse model of postsurgical pain: effect of a second surgery.

    abstract:BACKGROUND:Remifentanil anesthesia enhances postoperative pain in animals and humans. The authors evaluated the impact of the dose (microg x kg(-1) x min(-1)) and duration of remifentanil infusion, and the effects of a second surgery on postoperative pain sensitization. METHODS:Mice received different doses of remifen...


    pub_type: 杂志文章


    authors: Cabañero D,Campillo A,Célérier E,Romero A,Puig MM

    更新日期:2009-12-01 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

  • Systemic antiinflammatory corticosteroid reduces mechanical pain behavior, sympathetic sprouting, and elevation of proinflammatory cytokines in a rat model of neuropathic pain.

    abstract:BACKGROUND:Chronic pain models are commonly defined as either nerve-injury or inflammation models, but recent work suggests inflammatory processes are important in nerve injury-induced pain. METHODS:In the rat spinal nerve ligation model, the authors examined effects of systemic corticosteroid triamcinolone acetonide ...


    pub_type: 杂志文章


    authors: Li H,Xie W,Strong JA,Zhang JM

    更新日期:2007-09-01 00:00:00

  • Propofol anesthesia compared to awake reduces infarct size in rats.

    abstract:BACKGROUND:Propofol has not been studied directly in animals subject to cerebral ischemia in the conscious state. Strokes are usually induced in animals while they are anesthetized, making it difficult to eliminate anesthetic interactions as a complicating factor. Therefore, to compare the neuroprotective effects of pr...


    pub_type: 杂志文章


    authors: Gelb AW,Bayona NA,Wilson JX,Cechetto DF

    更新日期:2002-05-01 00:00:00

  • Neuromuscular and cardiovascular effects of mivacurium in children.

    abstract::The neuromuscular and cardiovascular effects of mivacurium chloride (BW B1090U) were evaluated in 90 children (2-12 yr) during N2O:O2 halothane or N2O:O2 narcotic anesthesia. Neuromuscular response was evaluated by recording the force of contraction of the adductor of the thumb during train-of-four stimulation at 0.1 ...


    pub_type: 杂志文章


    authors: Goudsouzian NG,Alifimoff JK,Eberly C,Smeets R,Griswold J,Miler V,McNulty BF,Savarese JJ

    更新日期:1989-02-01 00:00:00

  • Role of spinal cyclooxygenase in human postoperative and chronic pain.

    abstract:BACKGROUND:Nonsteroidal antiinflammatory drugs are commonly used to treat postoperative and chronic pain. Animal studies suggest that these drugs act, in part, by blocking prostaglandin production in the spinal cord. The authors tested intrathecal ketorolac in patients with chronic or postoperative pain. METHODS:After...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Eisenach JC,Curry R,Rauck R,Pan P,Yaksh TL

    更新日期:2010-05-01 00:00:00

  • The actions of halothane, ibuprofen and BW755C on hypoxic pulmonary vasoconstriction.

    abstract::The effect of halothane on the pressor responses to hypoxia (3% O2, 5% CO2, balance N2) and to Angiotensin II (Ang II) (0.2 microgram) has been compared in an in vitro perfused and ventilated rat lung preparation in the presence and absence of agents known to block the lipoxygenase (BW755C) and/or the cyclooxygenase (...


    pub_type: 杂志文章


    authors: Marshall C,Kim SD,Marshall BE

    更新日期:1987-04-01 00:00:00

  • "Gentlemen! This Is No Humbug": Did John Collins Warren, M.D., Proclaim These Words on October 16, 1846, at Massachusetts General Hospital, Boston?

    abstract::The proclamation, "Gentlemen! this is no humbug," attributed to John Collins Warren, M.D., was not identified in any contemporaneous eyewitness report of William T. G. Morton's October 16, 1846, demonstration of ether at Massachusetts General Hospital. The earliest known documentation of the proclamation is in Nathan ...


    pub_type: 传,历史文章,杂志文章


    authors: Haridas RP

    更新日期:2016-03-01 00:00:00

  • Ultra-long-duration local anesthesia produced by injection of lecithin-coated methoxyflurane microdroplets.

    abstract::This study was designed to evaluate a new drug delivery system. The authors undertook to determine if microdroplets prepared by encapsulating volatile anesthetics with a membrane of lecithin could be used for local anesthesia. Local anesthesia was determined by monitoring the response of the rat to tail clamping and e...


    pub_type: 杂志文章


    authors: Haynes DH,Kirkpatrick AF

    更新日期:1985-11-01 00:00:00

  • Predicting patient nonappearance for surgery as a scheduling strategy to optimize operating room utilization in a veterans' administration hospital.

    abstract:BACKGROUND:Previous attempts at improving operating room utilization have generally emphasized more accurate scheduling, starting the first case on time, and reducing turnover time. Surgical case cancellations have largely been ignored except for recommendations for preoperative screening and good physician-patient com...


    pub_type: 杂志文章


    authors: Basson MD,Butler TW,Verma H

    更新日期:2006-04-01 00:00:00

  • Dose-independent pharmacokinetics of fentanyl.

    abstract::Fentanyl is used as an analgesic in small doses (1-2 micrograms X kg-1) and as an anesthetic in very large doses (greater than 150 micrograms X kg-1). It has been demonstrated that the effects of fentanyl correlate with its concentrations in plasma. It is important, therefore, to know whether or not the pharmacokineti...


    pub_type: 杂志文章


    authors: Murphy MR,Hug CC Jr,McClain DA

    更新日期:1983-12-01 00:00:00

  • Positron emission tomography study of regional cerebral metabolism in humans during isoflurane anesthesia.

    abstract:BACKGROUND:Although the anesthetic effects of the intravenous anesthetic agent propofol have been studied in the living human brain using brain imaging technology, the nature of the anesthetic state evident in the human brain during inhalational anesthesia remains unknown. To examine this issue, the authors studied the...


    pub_type: 杂志文章


    authors: Alkire MT,Haier RJ,Shah NK,Anderson CT

    更新日期:1997-03-01 00:00:00

  • Anesthetic interactions of midazolam and fentanyl: is there acute tolerance to the opioid?

    abstract::The anesthetic effects and interactions of midazolam and fentanyl were determined in terms of their reduction of enflurane MAC in dogs, and the effects of their specific antagonists were also investigated. Control enflurane MAC was determined by the tail clamp method in 18 mongrel dogs. Each animal then received an iv...


    pub_type: 杂志文章


    authors: Schwieger IM,Hall RI,Szlam F,Hug CC Jr

    更新日期:1989-04-01 00:00:00

  • Acid-sensing Ion Channel 3 Overexpression in Incisions Regulated by Nerve Growth Factor Participates in Postoperative Nociception in Rats.

    abstract:BACKGROUND:Acid-sensing ion channel 3 (ASIC3) upregulation has been reported in dorsal root ganglion neurons after incision and contributes to postoperative nociception. This study hypothesized that upregulation of ASIC3 in incised tissues is induced by nerve growth factor through the phosphoinositide 3-kinase/protein ...


    pub_type: 杂志文章


    authors: Li H,Li H,Cheng J,Liu X,Zhang Z,Wu C

    更新日期:2020-12-01 00:00:00

  • Human subthalamic neuron spiking exhibits subtle responses to sedatives.

    abstract:BACKGROUND:During deep brain stimulation implant surgery, microelectrode recordings are used to map the location of targeted neurons. The effects produced by propofol or remifentanil on discharge activity of subthalamic neurons were studied intraoperatively to determine whether they alter neuronal activity. METHODS:Mi...


    pub_type: 杂志文章


    authors: Maciver MB,Bronte-Stewart HM,Henderson JM,Jaffe RA,Brock-Utne JG

    更新日期:2011-08-01 00:00:00

  • A randomized study of the effects of single-dose gabapentin versus placebo on postoperative pain and morphine consumption after mastectomy.

    abstract:BACKGROUND:The anticonvulsant gabapentin has proven effective for neuropathic pain in three large placebo-controlled clinical trials. Experimental and clinical studies have demonstrated antihyperalgesic effects in models involving central neuronal sensitization. It has been suggested that central neuronal sensitization...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Dirks J,Fredensborg BB,Christensen D,Fomsgaard JS,Flyger H,Dahl JB

    更新日期:2002-09-01 00:00:00

  • Dexamethasone Dose and Early Postoperative Recovery after Mastectomy: A Double-blind, Randomized Trial.

    abstract:BACKGROUND:Pain and nausea are the most common challenges in postoperative recovery after mastectomy. Preventive measures include multimodal analgesia with preoperative glucocorticoid. The aim of this study was to investigate whether 24 mg of preoperative dexamethasone was superior to 8 mg on early recovery after maste...


    pub_type: 杂志文章,随机对照试验


    authors: Steinthorsdottir KJ,Awada HN,Abildstrøm H,Kroman N,Kehlet H,Kvanner Aasvang E

    更新日期:2020-04-01 00:00:00

  • Interaction of halothane with alpha- and beta-adrenoceptor stimulations in rat myocardium.

    abstract:BACKGROUND:Halothane induces negative inotropic and lusitropic effects in myocardium. It has been suggested that halothane potentiates beta-adrenoceptor stimulation. However, its effects on the inotropic response to alpha-adrenoceptor stimulation and its effects on the lusitropic effects of alpha- and beta-adrenoceptor...


    pub_type: 杂志文章


    authors: Hanouz JL,Riou B,Massias L,Lecarpentier Y,Coriat P

    更新日期:1997-01-01 00:00:00

  • Noninvasive Tracking of Anesthesia Neurotoxicity in the Developing Rodent Brain.

    abstract:BACKGROUND:Potential deleterious effect of multiple anesthesia exposures on the developing brain remains a clinical concern. We hypothesized that multiple neonatal anesthesia exposures are more detrimental to brain maturation than an equivalent single exposure, with more pronounced long-term behavioral consequences. We...


    pub_type: 杂志文章


    authors: Makaryus R,Lee H,Robinson J,Enikolopov G,Benveniste H

    更新日期:2018-07-01 00:00:00

  • Clinical characteristics of desflurane in surgical patients: minimum alveolar concentration.

    abstract::Desflurane (formerly I-653) is a new inhalaticnal anesthetic with a promising pharmacokinetic profile that includes low solubility in blood and tissue, including fat. Since its lipid solubility is less than that of other volatile agents, it may have lower potency. Low solubility would be expected to increase the rate ...


    pub_type: 杂志文章


    authors: Rampil IJ,Lockhart SH,Zwass MS,Peterson N,Yasuda N,Eger EI 2nd,Weiskopf RB,Damask MC

    更新日期:1991-03-01 00:00:00

  • Epidural, cerebrospinal fluid, and plasma pharmacokinetics of epidural opioids (part 1): differences among opioids.

    abstract:BACKGROUND:The pharmacokinetics of epidurally administered drugs has been the subject of many studies, yet drug concentration in the epidural space has never been measured. This study was undertaken to characterize the epidural, cerebrospinal fluid, and plasma pharmacokinetics of epidurally administered opioids on the ...


    pub_type: 杂志文章


    authors: Bernards CM,Shen DD,Sterling ES,Adkins JE,Risler L,Phillips B,Ummenhofer W

    更新日期:2003-08-01 00:00:00

  • Bupivacaine-induced cardiac arrhythmias in sheep.

    abstract::Controversy persists about the cardiac toxicity of bupivacaine if accidentally administered intravenously during regional anesthesia. Using awake, unanesthetized sheep, we evaluated the cardiac effects of low and high equivalent doses of lidocaine and bupivacaine given intravenously over 10 s. All animals convulsed wi...


    pub_type: 杂志文章


    authors: Kotelko DM,Shnider SM,Dailey PA,Brizgys RV,Levinson G,Shapiro WA,Koike M,Rosen MA

    更新日期:1984-01-01 00:00:00

  • Midazolam potentiates nociceptive behavior, sensitizes cutaneous reflexes, and is devoid of sedative action in neonatal rats.

    abstract:BACKGROUND:The significant postnatal maturation of gamma-aminobutyric acid signaling in the developing brain is likely to have important implications for infant pain processing. Gamma-aminobutyric acid receptor activation evokes analgesia and sedation in the adult, but the impact of immature gamma-aminobutyric acid sig...


    pub_type: 杂志文章


    authors: Koch SC,Fitzgerald M,Hathway GJ

    更新日期:2008-01-01 00:00:00

  • Acute lung injury after instillation of human breast milk or infant formula into rabbits' lungs.

    abstract:BACKGROUND:Recent interest in shortening the fasting interval after ingestion of milk products demonstrated large volumes of breast milk in the stomach 2 h after breastfeeding. Although aspiration is a rare event, if it were to occur with human breast milk, it is important to understand the extent of the lung injury th...


    pub_type: 杂志文章


    authors: O'Hare B,Lerman J,Endo J,Cutz E

    更新日期:1996-06-01 00:00:00

  • Infection during chronic epidural catheterization: diagnosis and treatment.

    abstract::A potentially serious complication of long-term epidural catheterization in cancer patients is infection. The early signs of infection were studied in 350 patients in whom long-term epidural catheters were inserted. Three areas of the catheter track were found to be involved; exit site and superficial catheter track i...


    pub_type: 杂志文章


    authors: Du Pen SL,Peterson DG,Williams A,Bogosian AJ

    更新日期:1990-11-01 00:00:00

  • Prediction Score for Postoperative Neurologic Complications after Brain Tumor Craniotomy: A Multicenter Observational Study.

    abstract:WHAT WE ALREADY KNOW ABOUT THIS TOPIC:WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Craniotomy for brain tumor displays significant morbidity and mortality, and no score is available to discriminate high-risk patients. Our objective was to validate a prediction score for postoperative neurosurgical complications...


    pub_type: 杂志文章,多中心研究


    authors: Cinotti R,Bruder N,Srairi M,Paugam-Burtz C,Beloeil H,Pottecher J,Geeraerts T,Atthar V,Guéguen A,Triglia T,Josserand J,Vigouroux D,Viquesnel S,Lakhal K,Galliez M,Blanloeil Y,Le Thuaut A,Feuillet F,Rozec B,Asehnoune K

    更新日期:2018-12-01 00:00:00

  • Increase in extracellular potassium in the brain during circulatory arrest: effects of hypothermia, lidocaine, and thiopental.

    abstract::The effect of temperature (37 degrees C, 28 degrees C, and 18 degrees C), 160 mg/kg lidocaine, and 40 mg/kg thiopental on the efflux of cellular potassium in the cerebral cortex during complete global ischemia was examined. Cerebral ischemia was induced in dogs on cardiopulmonary bypass circulation by stopping the pum...


    pub_type: 杂志文章


    authors: Astrup J,Skovsted P,Gjerris F,Sørensen HR

    更新日期:1981-09-01 00:00:00