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To diagnose, at least two of the symptoms in the DSM-5 diagnostic criteria must occur within a 12-month period, including persistent nicotine cravings, difficulty quitting despite unsuccessful efforts, using tobacco in situations where it is physically hazardous, neglecting responsibilities due to tobacco use, and experiencing nicotine withdrawal symptoms

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4 Anesthesiologists should document preoperative cigarette smoking status, encourage smoking cessation, and, if time permits, refer patients to smoking cessation services to obtain counseling and pharmacologic interventions (Table 3)