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Perioperative considerations for patient safety during cosmetic surgery - preventing complications

机译:整容手术中患者安全的围手术期注意事项-预防并发症

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Maintaining patient safety in the operating room is a major concern of surgeons, hospitals and surgical facilities. Circumventing preventable complications is essential, and pressure to avoid these complications in cosmetic surgery is increasing. Traditionally, nursing and anesthesia staff have managed patient positioning and safety issues in the operating room. As the number of office-based procedures in the plastic surgeon's practice increases, understanding and implementing patient safety guidelines by the plastic surgeon is of increasing importance.A review of the Joint Commission's Universal Protocol highlights requirements set forth to prevent perioperative complications. In the present paper, the importance of implementing these guidelines into the cosmetic surgery practice is reviewed. Key aspects of patient safety in the operating room are outlined, including patient positioning, ocular protection and other issues essential for minimization of postoperative morbidity. Additionally, as the demand for body contouring surgery in the cosmetic practice continues to increase, special attention to safety considerations specific to the obese and massive weight loss patients is mandatory. After review of the present paper, the reader should be able to introduce the Joint Commission's Universal Protocol into their daily practice. The reader will understand key aspects of patient positioning, airway management and ocular protection in cosmetic surgery. Finally, the reader will have a better understanding of the perioperative care of unique populations including the morbidly obese, massive weight loss patients and the elderly. Attention to detail in these aspects of patient safety can help avoid unnecessary complication and significantly improve the patient's experience and surgical outcome.
机译:维护手术室患者的安全是外科医生,医院和手术设施的主要关注点。规避可预防的并发症至关重要,在整容手术中避免这些并发症的压力正在增加。传统上,护理和麻醉人员在手术室中管理患者的位置和安全问题。随着整形外科医生实践中基于办公室的程序数量的增加,整形外科医生理解和实施患者安全指南的重要性日益增加。对联合委员会《世界议定书》的审查强调了为防止围手术期并发症而提出的要求。在本文中,回顾了在美容手术实践中实施这些指南的重要性。概述了手术室中患者安全的关键方面,包括患者位置,眼睛保护和其他对尽量减少术后发病率至关重要的问题。另外,随着美容实践中对身体轮廓手术的需求持续增加,必须特别注意针对肥胖和大量减肥患者的安全性考虑。在阅读了本文之后,读者应该能够将联合委员会的《世界议定书》引入他们的日常实践中。读者将了解整容手术中患者定位,气道管理和眼部保护的关键方面。最后,读者将更好地了解独特人群的围手术期护理,包括病态肥胖,大量减肥患者和老年人。注意患者安全的这些方面的细节可以帮助避免不必要的并发症,并显着改善患者的经验和手术效果。

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