Consensus statement on smoking cessation in patients with pain

被引:12
作者
Iida, Hiroki [1 ,2 ,11 ]
Yamaguchi, Shigeki [1 ,3 ]
Goyagi, Toru [1 ,4 ]
Sugiyama, Yoko [1 ,5 ,11 ]
Taniguchi, Chie [1 ,6 ]
Matsubara, Takako [1 ,7 ]
Yamada, Naoto [1 ,8 ]
Yonekura, Hiroshi [1 ,9 ]
Iida, Mami [1 ,10 ]
机构
[1] Japan Soc Pain Clinicians JSPC, Working Grp Role Smoking Cessat Pain Relief, Tokyo, Japan
[2] Gifu Univ, Dept Anesthesiol & Pain Med, Grad Sch Med, Gifu, Japan
[3] Dokkyo Med Univ, Dept Anesthesiol, Sch Med, Mibu, Tochigi, Japan
[4] Akita Univ Hosp, Dept Anesthesiol, Akita, Japan
[5] Gifu Univ, Dept Woman Doctor Act Support Perioperat Med, Grad Sch Med, Gifu, Japan
[6] Aichi Med Univ, Coll Nursing, Nagakute, Aichi, Japan
[7] Kobe Gakuin Univ, Fac Rehabil, Dept Phys Therapy, Kobe, Hyogo, Japan
[8] Iwate Med Univ Hosp, Dept Anesthesiol, Yahaba, Iwate, Japan
[9] Fujita Hlth Univ, Dept Anesthesiol & Pain Med, Bantane Hosp, Nagoya, Aichi, Japan
[10] Gifu Prefectural Gen Med Ctr, Dept Internal Med, Gifu, Japan
[11] Cent Japan Int Med Ctr, Anesthesiol & Pain Relief Ctr, 1-1 Kenkonomachi, Minokamo, Gifu 5058510, Japan
关键词
Acute pain; Chronic pain; Smoking cessation; Withdrawal; Nicotine; LOW-BACK-PAIN; QUALITY-OF-LIFE; CIGARETTE-SMOKING; POSTOPERATIVE PAIN; OPIOID USE; PERSISTENT PAIN; RISK-FACTORS; LUNG-CANCER; NICOTINE WITHDRAWAL; TOBACCO SMOKING;
D O I
10.1007/s00540-022-03097-w
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Smoking is closely associated with the development of various cancers and tobacco-related illnesses such as cardiovascular and respiratory disorders. However, data are scarce on the relationship between smoking and both acute and chronic pain. In addition to nicotine, tobacco smoke contains more than 4000 different compounds. Although nicotine is not the sole cause of smoking-induced diseases, it plays a critical role in pain-related pathophysiology. Despite the acute analgesic effects of nicotine, long-term exposure leads to tolerance and increased pain sensitivity due to nicotinic acetylcholine receptor desensitization and neuronal plastic changes. The purpose of smoking cessation interventions in smoking patients with pain is primarily not only to reduce their pain and associated limitations in activities of daily living, but also to improve the outcomes of underlying pain-causing conditions and reduce the risks of tobacco-related disorders. This statement aims to summarize the available evidence on the impact of smoking on pain and to inform medical professionals of the significance of smoking cessation in patients with pain.
引用
收藏
页码:671 / 687
页数:17
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