Anesthesia implications of waterpipe use

Kimberly L Kesner; Vijay K Ramaiah; Laura B Hemmer; Antoun Koht

doi:10.1016/j.jclinane.2011.05.005

Anesthesia implications of waterpipe use

J Clin Anesth. 2012 Mar;24(2):137-40. doi: 10.1016/j.jclinane.2011.05.005.

Authors

Kimberly L Kesner¹, Vijay K Ramaiah, Laura B Hemmer, Antoun Koht

Affiliation

¹ Department of Anesthesiology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.

PMID: 22414706
DOI: 10.1016/j.jclinane.2011.05.005

Abstract

The waterpipe is an ancient Middle Eastern tobacco delivery system, which is also known as hookah, shisha, or narghile, and it is gaining widespread use. Waterpipes are often perceived as less dangerous than cigarettes. The amount of smoke inhaled in a waterpipe session may equal that produced by more than 100 cigarettes with high nicotine, carbon monoxide, and carcinogen intake. A case of significantly elevated intraoperative carboxyhemoglobin level and decreased oxyhemoglobin saturation in a patient with recent waterpipe use is presented.

Publication types

Case Reports

MeSH terms

Anesthesia / methods
Carboxyhemoglobin / metabolism*
Female
Humans
Middle Aged
Monitoring, Intraoperative / methods
Nicotiana / chemistry*
Oxyhemoglobins / metabolism*
Smoking / adverse effects*

Substances

Oxyhemoglobins
Carboxyhemoglobin