Sensitivity of upper airway reflexes in cigarette smokers: effect of abstinence

• Published in: British journal of anaesthesia : BJA Vol. 73; no. 3; pp. 298 - 302
• Main Authors: ERSKINE, R.J., MURPHY, P.J., LANGTON, J.A.
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 01.09.1994; Oxford University Press
• Subjects: Adolescent; Adult; Airway; Airway, reflexes; Ammonia; Anesthesia; Biological and medical sciences; Carboxyhemoglobin - metabolism; Female; Glottis - physiopathology; Humans; Male; Measurement techniques; Measurement techniques, airway reflexes; Medical sciences; Preoperative Care; Reflex - physiology; reflexes; Smoking - blood; Smoking - physiopathology; Smoking Cessation; Time Factors; Tobacco, tobacco smoking; Toxicology; Measurement techniques, airway reflexes; Airway, reflexes; Human; Reflex; Poison withdrawal; Upper respiratory tract; Comparative study; Tobacco smoking
• ISSN: 0007-0912; 1471-6771
• DOI: 10.1093/bja/73.3.298

In two studies we have compared the upper airway reflex sensitivity (UARS) of chronic cigarette smokers with that of non-smokers and also the effect of different periods of abstinence on UARS in the smoking groups. UARS was measured by recording the threshold concentration of dilute ammonia vapour required to stimulate reflex glottic closure. The first study compared UARS in 20 non smokers with 20 smokers, followed by another measurement in the smoking group after 24 h of abstinence. In study two, we measured UARS repeatedly over a period of 3–4 weeks in 16 smokers, half of whom had stopped smoking on day 0. Chronic cigarette smokers were found to have significantly greater UARS compared with non-smokers; the sensitivity was unaltered after 24 h of abstinence but was found to reduce over several days, the change commencing between 24 and 48 h, with most achieving a consistent change within 10 days.