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Increased respiratory symptoms following surgery in children exposed to environmental tobacco smoke
Author(s) -
Drongowski Robert A,
Lee Donald,
Reynolds Paul I,
Malviya Shobha,
Harmon Carroll M,
Geiger James,
Lelli Joseph L,
Coran Arnold G
Publication year - 2003
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2003.01100.x
Subject(s) - medicine , tobacco smoke , cotinine , inguinal hernia , general anaesthesia , anesthesia , respiratory system , passive smoking , pediatrics , nicotine , hernia , surgery , environmental health
Summary Objective : The aim of this study was to determine if children exposed to environmental tobacco smoke (ETS) via parental smoking (ETS+) developed more respiratory symptoms resulting in longer recovery times following surgical outpatient procedures compared with children of nonsmoking parents (ETS−). Methods : One hundred and forty six children (4.9 ± 3 years) undergoing inguinal hernia repair were prospectively studied. Parental smoking behaviour was determined by survey and urine analysis. Seven respiratory symptoms were evaluated during induction and emergence from anaesthesia and during the recovery room (RR) stay. Results : Fifty‐seven (39%) families admitted a smoking history while 89 (61%) denied it. This strongly correlated with the cotinine/creatinine ratio (Pearson correlation coefficient = 0.76; P = 0.01). ETS exposure was associated with an increased frequency of RR symptoms (ETS+: 56%; ETS−: 31%; P = 0.007). Conclusions : In children undergoing general anaesthesia for inguinal hernia repair, ETS exposure was associated with an increased frequency of respiratory symptoms during emergence from anaesthesia and during postoperative recovery.