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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Smoking Addiction, Have Severe Trauma On The Heel Due To Accident. Am I At Greater Risk During Surgery Due To Smoking Habit?

Hi my sisters husband just had a major car accident and his right heel has been shattered to a million pieces. It just happened a few days ago he is currently in a cast waiting on the swelling to go down before any type of surgery etc. my question is because he is a smoker is he at more high risk of problems with surgery and he is a carpenter do you think he could continue being a carpenter when recovered
Sat, 21 Jul 2012
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Internal Medicine Specialist,  's  Response
dear freind, welcome to HCM,
yes , you are right. smoking can pose risks during anaesthesia if they have COPD/ smoker's lungs.
risks are higher in emergency unprepared cases.
in elective case like his, risks can be minimised like with respiratory optimisation pre-op.
the d treating team can do that and with modern anaesthesia, they are manageable.
so do not worry much.
optimise chest and go ahead if necessary . pl. remind anaesthesiologist and surgeon about this preop.
take care and good luck.
he can work again. keep me posted.

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Smoking Addiction, Have Severe Trauma On The Heel Due To Accident. Am I At Greater Risk During Surgery Due To Smoking Habit?

dear freind, welcome to HCM, yes , you are right. smoking can pose risks during anaesthesia if they have COPD/ smoker s lungs. risks are higher in emergency unprepared cases. in elective case like his, risks can be minimised like with respiratory optimisation pre-op. the d treating team can do that and with modern anaesthesia, they are manageable. so do not worry much. optimise chest and go ahead if necessary . pl. remind anaesthesiologist and surgeon about this preop. take care and good luck. he can work again. keep me posted.