Cargando…

Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea

There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic proc...

Descripción completa

Detalles Bibliográficos
Autores principales: Osman, Brian M., Shapiro, Fred E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536880/
https://www.ncbi.nlm.nih.gov/pubmed/31113182
http://dx.doi.org/10.5999/aps.2018.01473
_version_ 1783421869306675200
author Osman, Brian M.
Shapiro, Fred E.
author_facet Osman, Brian M.
Shapiro, Fred E.
author_sort Osman, Brian M.
collection PubMed
description There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic procedures in the office, but several widely publicized fatalities and malpractice claims has put the spotlight on patient safety and the lack of uniform regulation of office-based practices. While 33 states currently have legislation for office-based surgery and anesthesia, 17 states have no mandate to report patient deaths or adverse outcomes. The literature on office-base surgery and anesthesia has demonstrated significant improvements in patient safety over the last 20 years. In the following review of the proceedings from the PRS Korea 2018 meeting, we discuss several key concepts regarding safe anesthesia for officebased cosmetic surgery. These include the safe delivery of oxygen, appropriate local anesthetic usage and the avoidance of local anesthetic toxicity, the implementation of Enhanced Recovery after Surgery protocols, multimodal analgesic techniques with less reliance on narcotic pain medications, the use of surgical safety checklists, and incorporating “the patient” into the surgical decision-making process through decision aids.
format Online
Article
Text
id pubmed-6536880
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Korean Society of Plastic and Reconstructive Surgeons
record_format MEDLINE/PubMed
spelling pubmed-65368802019-06-03 Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea Osman, Brian M. Shapiro, Fred E. Arch Plast Surg Review Article There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic procedures in the office, but several widely publicized fatalities and malpractice claims has put the spotlight on patient safety and the lack of uniform regulation of office-based practices. While 33 states currently have legislation for office-based surgery and anesthesia, 17 states have no mandate to report patient deaths or adverse outcomes. The literature on office-base surgery and anesthesia has demonstrated significant improvements in patient safety over the last 20 years. In the following review of the proceedings from the PRS Korea 2018 meeting, we discuss several key concepts regarding safe anesthesia for officebased cosmetic surgery. These include the safe delivery of oxygen, appropriate local anesthetic usage and the avoidance of local anesthetic toxicity, the implementation of Enhanced Recovery after Surgery protocols, multimodal analgesic techniques with less reliance on narcotic pain medications, the use of surgical safety checklists, and incorporating “the patient” into the surgical decision-making process through decision aids. Korean Society of Plastic and Reconstructive Surgeons 2019-05 2019-05-15 /pmc/articles/PMC6536880/ /pubmed/31113182 http://dx.doi.org/10.5999/aps.2018.01473 Text en Copyright © 2019 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Osman, Brian M.
Shapiro, Fred E.
Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea
title Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea
title_full Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea
title_fullStr Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea
title_full_unstemmed Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea
title_short Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea
title_sort safe anesthesia for office-based plastic surgery: proceedings from the prs korea 2018 meeting in seoul, korea
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536880/
https://www.ncbi.nlm.nih.gov/pubmed/31113182
http://dx.doi.org/10.5999/aps.2018.01473
work_keys_str_mv AT osmanbrianm safeanesthesiaforofficebasedplasticsurgeryproceedingsfromtheprskorea2018meetinginseoulkorea
AT shapirofrede safeanesthesiaforofficebasedplasticsurgeryproceedingsfromtheprskorea2018meetinginseoulkorea