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首页> 美国卫生研究院文献>Archives of Plastic Surgery >Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul Korea
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Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul Korea

机译：基于办公室的整形手术的安全麻醉：PRS Korea 2018会议在韩国首尔的会议记录

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摘要

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.
机译：在过去的20年中，整形外科病例呈指数增长，从每年280万例激增至1750万例。其中有72％的案件是在办公室或非住院场所进行的。在办公室执行美学程序具有某些优势，但是，一些广为人知的死亡和渎职主张使人们着重关注患者的安全和缺乏统一的办公室行为规范。虽然目前有33个州制定了以办公室为基础的手术和麻醉的法律，但17个州无权报告患者死亡或不良后果。在过去的20年中，有关以办公室为基础的手术和麻醉的文献显示，患者安全性得到了显着改善。在对2018年PRS韩国会议的程序进行的以下审查中，我们讨论了有关用于办公室美容手术的安全麻醉的几个关键概念。这些措施包括安全输送氧气，适当的局部麻醉药使用和避免局部麻醉药毒性，实施手术后增强恢复方案，多模式镇痛技术（较少依赖麻醉性止痛药），使用外科手术安全检查表，以及纳入“患者通过决策辅助工具进入外科手术决策过程。

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