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The cigarette itself, or more accurately, the tobacco within it, acts as a vessel

Furthermore, CO in the cigarette smoke binds to haemoglobin replacing oxygen with COHb up to 7%15% and this shifts the oxygen dissociation curves to left and will reduce oxygen availability to tissues.[13] Strong affinity of CO for binding to haemoglobin (250 times more than that of oxygen) can be offset by allowing the patients to breath 100% oxygen before anaesthesia induction

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Retrieved November 28, 2023