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Anesthesia for Office Based Cosmetic Procedures

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Abstract

Office based anesthesia has grown in popularity in parallel with cosmetic procedures over the past decade. This is due to newer and safer anesthetic techniques combined with minimally invasive and novel surgical methods, allowing more procedures to be completed at out of hospital settings.

One of the main concerns of office based procedures is patient safety along with the availability of personnel and equipment to deal with complications and emergencies.

This chapter discusses the anesthetic management and techniques for office based cosmetic procedures, patient and procedure selection, office preparedness and patient safety.

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References

  1. Shapiro FE. Anesthesia for outpatient cosmetic surgery. Curr Opin Anaesthesiol. 2008;21(6):704–10.

    Article  PubMed  Google Scholar 

  2. Surgery TASfAP. Cosmetic surgery national data bank statistics 2016. Available from: https://www.surgery.org/sites/default/files/ASAPS-Stats2016.pdf.

  3. Hunstad JP, Walk PH. Office-based anesthesia. Semin Plast Surg. 2007;21(2):103–7.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Weaver JM. The safety of both fixed and transportable office-based anesthesia for dentistry. Anesth Prog. 1999;46(1):1–2.

    PubMed  PubMed Central  CAS  Google Scholar 

  5. Ellsworth WA, Basu CB, Iverson RE. Perioperative considerations for patient safety during cosmetic surgery – preventing complications. Can J Plast Surg. 2009;17(1):9–16.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Shapiro FE, Punwani N, Rosenberg NM, Valedon A, Twersky R, Urman RD. Office-based anesthesia: safety and outcomes. Anesth Analg. 2014;119(2):276–85.

    Article  PubMed  CAS  Google Scholar 

  7. Hausman LM, Frost EA. Office-based surgery: expanding the role of the anesthesiologist. Middle East J Anaesthesiol. 2007;19(2):291–310.

    PubMed  Google Scholar 

  8. Spring MA, Stoker DA, Holloway J, Weintraub M, Stevens WG. Office-based plastic surgery with general anesthesia: efficiency of cost and time. Semin Plast Surg. 2007;21(2):99–101.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Bitar G, Mullis W, Jacobs W, Matthews D, Beasley M, Smith K, et al. Safety and efficacy of office-based surgery with monitored anesthesia care/sedation in 4778 consecutive plastic surgery procedures. Plast Reconstr Surg. 2003;111(1):150–6; discussion 157–8.

    Article  PubMed  Google Scholar 

  10. Johnson PJ. General anesthesia in an office-based plastic surgical facility: a report on more than 23,000 consecutive office-based procedures under general anesthesia with no significant anesthetic complications. Arch Facial Plast Surg. 2001;3(4):287.

    Article  PubMed  CAS  Google Scholar 

  11. Friedberg BL. Propofol in office-based plastic surgery. Semin Plast Surg. 2007;21(2):129–32.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Friedberg BL. Propofol ketamine anesthesia for cosmetic surgery in the office suite. Int Anesthesiol Clin. 2003;41(2):39–50.

    Article  PubMed  Google Scholar 

  13. Vinnik CA. Dissociative anesthesia in an office-based plastic surgery practice. Semin Plast Surg. 2007;21(2):109–14.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Friedberg BL. Propofol-ketamine technique. Aesthetic Plast Surg. 1993;17(4):297–300.

    Article  PubMed  CAS  Google Scholar 

  15. Quttainah A, Carlsen L, Voice S, Taylor J. Ketamine-diazepam protocol for intravenous sedation: the cosmetic surgery hospital experience. Can J Plast Surg. 2004;12(3):141–3.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Blake DR. Office-based anesthesia: dispelling common myths. Aesthet Surg J. 2008;28(5):564–70; discussion 571–2.

    Article  PubMed  Google Scholar 

  17. Wang G, Cao WG, Li SL, Liu LN, Jiang ZH. Safe extensive tumescent liposuction with segmental infiltration of lower concentration lidocaine under monitored anesthesia care. Ann Plast Surg. 2015;74(1):6–11.

    Article  PubMed  CAS  Google Scholar 

  18. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16(3):248–63.

    Article  CAS  PubMed  Google Scholar 

  19. Sood J, Jayaraman L, Sethi N. Liposuction: anaesthesia challenges. Indian J Anaesth. 2011;55(3):220–7.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  20. Kenkel JM, Lipschitz AH, Luby M, Kallmeyer I, Sorokin E, Appelt E, et al. Hemodynamic physiology and thermoregulation in liposuction. Plast Reconstr Surg. 2004;114(2):503–13; discussion 514–5.

    Article  PubMed  Google Scholar 

  21. Rohrich RJ, Leedy JE, Swamy R, Brown SA, Coleman J. Fluid resuscitation in liposuction: a retrospective review of 89 consecutive patients. Plast Reconstr Surg. 2006;117(2):431–5.

    Article  PubMed  CAS  Google Scholar 

  22. Nekhendzy V, Ramaiah VK. Prevention of perioperative and anesthesia-related complications in facial cosmetic surgery. Facial Plast Surg Clin North Am. 2013;21(4):559–77.

    Article  PubMed  Google Scholar 

  23. Beer GM, Goldscheider E, Weber A, Lehmann K. Prevention of acute hematoma after face-lifts. Aesthetic Plast Surg. 2010;34(4):502–7.

    Article  PubMed  CAS  Google Scholar 

  24. Iannitti T, Capone S, Palmieri B. Short review on face rejuvenation procedures: focus on preoperative antiseptic and anesthetic delivery by JetPeel-3 (a high pressure oxygen delivery device). Minerva Chir. 2011;66(3 Suppl 1):1–8.

    PubMed  CAS  Google Scholar 

  25. Byrne TK. Complications of surgery for obesity. Surg Clin North Am. 2001;81(5):1181–93; vii–viii.

    Article  PubMed  CAS  Google Scholar 

  26. Ganzberg S. Obstructive sleep apnea and office-based surgery. Anesth Prog. 2016;63(2):53–4.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Joshi GP, Ankichetty SP, Gan TJ, Chung F. Society for Ambulatory Anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery. Anesth Analg. 2012;115(5):1060–8.

    Article  PubMed  Google Scholar 

  28. Tan KB, Toh ST, Guilleminault C, Holty JE. A cost-effectiveness analysis of surgery for middle-aged men with severe obstructive sleep apnea intolerant of CPAP. J Clin Sleep Med. 2015;11(5):525–35.

    PubMed  PubMed Central  Google Scholar 

  29. Apfel CC, Korttila K, Abdalla M, Kerger H, Turan A, Vedder I, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350(24):2441–51.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  30. Phillips BT, Wang ED, Rodman AJ, Watterson PA, Smith KL, Finical SJ, et al. Anesthesia duration as a marker for surgical complications in office-based plastic surgery. Ann Plast Surg. 2012;69(4):408–11.

    Article  PubMed  CAS  Google Scholar 

  31. Yi MS, Kang H, Kim MK, Choi GJ, Park YH, Baek CW, Jung YH, Woo YC. Relationship between the incidence and risk factors of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia. Asian J Surg. 2017. https://doi.org/10.1016/j.asjsur.2017.01.005. pii: S1015-9584(16)30464-X. PMID 28372932.

  32. Fujii Y. Prophylaxis of postoperative nausea and vomiting in patients scheduled for breast surgery. Clin Drug Investig. 2006;26(8):427–37.

    Article  PubMed  CAS  Google Scholar 

  33. Trimas SJ, Trimas MD. Use of aprepitant and factors associated with incidence of postoperative nausea and vomiting in patients undergoing facial plastic surgery. JAMA Facial Plast Surg. 2015;17(4):251–5.

    Article  PubMed  Google Scholar 

  34. Morello DC, Colon GA, Fredricks S, Iverson RE, Singer R. Patient safety in accredited office surgical facilities. Plast Reconstr Surg. 1997;99(6):1496–500.

    Article  PubMed  CAS  Google Scholar 

  35. Keyes GR, Singer R, Iverson RE, McGuire M, Yates J, Gold A, et al. Mortality in outpatient surgery. Plast Reconstr Surg. 2008;122(1):245–50; discussion 251–3.

    Article  PubMed  CAS  Google Scholar 

  36. Urman RD, Punwani N, Shapiro FE. Office-based surgical and medical procedures: educational gaps. Ochsner J. 2012;12(4):383–8.

    PubMed  PubMed Central  Google Scholar 

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Correspondence to Michael Stuart Green D.O., M.B.A. .

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Dawood, S.S., Green, M.S. (2018). Anesthesia for Office Based Cosmetic Procedures. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_27

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  • DOI: https://doi.org/10.1007/978-3-319-74766-8_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74765-1

  • Online ISBN: 978-3-319-74766-8

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