Browse > Article
http://dx.doi.org/10.5999/aps.2018.01473

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

Osman, Brian M. (Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miller School of Medicine)
Shapiro, Fred E. (Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School)
Publication Information
Archives of Plastic Surgery / v.46, no.3, 2019 , pp. 189-197 More about this Journal
Abstract
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 office-based 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.
Keywords
Plastic surgery; Office-based anesthesia; Enhanced recovery after surgery; Checklist; Decision aids;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Eberle N, Newman M. Patient perception of postoperative pain after administration of liposomal bupivacaine in plastic surgery. Ann Plast Surg 2015;74 Suppl 4:S198-200.   DOI
2 Shapiro FE, Grammer RL, Punwani N, et al. The evolution of checklists and implications for anesthesiology. Int Anesthesiol Clin 2013;51:53-64.   DOI
3 de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010;363:1928-37.   DOI
4 Afonso A, Oskar S, Tan KS, et al. Is enhanced recovery the new standard of care in microsurgical breast reconstruction? Plast Reconstr Surg 2017;139:1053-61.   DOI
5 Temple-Oberle C, Shea-Budgell MA, Tan M, et al. Consensus review of optimal perioperative care in breast reconstruction: enhanced recovery after surgery (ERAS) society recommendations. Plast Reconstr Surg 2017;139:1056e-1071e.   DOI
6 Waldron NH, Jones CA, Gan TJ, et al. Impact of perioperative dexamethasone on postoperative analgesia and side-effects: systematic review and meta-analysis. Br J Anaesth 2013;110:191-200.   DOI
7 Mishriky BM, Waldron NH, Habib AS. Impact of pregabalin on acute and persistent postoperative pain: a systematic review and meta-analysis. Br J Anaesth 2015;114:10-31.   DOI
8 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the development of a customizable checklist for use by patients. J Patient Saf 2019;15:18-23.   DOI
9 Rosenberg NM, Urman RD, Gallagher S, et al. Effect of an office-based surgical safety system on patient outcomes. Eplasty 2012;12:e59.
10 Stacey D, Legare F, Lewis K, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2017;4:CD001431.
11 Fernando RJ, Shapiro FE, Urman RD. survey analysis of an ambulatory surgical checklist for patient use. AORN J 2015; 102:290.e1-290.e10.   DOI
12 Adams WP Jr, Small KH. The process of breast augmentation with special focus on patient education, patient selection and implant selection. Clin Plast Surg 2015;42:413-26.   DOI
13 American Association for Justice. The dangers of 'practice drift' [Internet]. Washington, DC: American Association for Justice; c2011 [cited 2018 Dec 13]. Available from https://www.justice.org/blog/dangers-practice-drift.
14 Salviz EA, Sivrikoz N, Ozonur A, et al. Ultrasound-guided bilateral thoracic paravertebral blocks as an adjunct to general anesthesia in patients undergoing reduction mammaplasty: a historical cohort study. Plast Reconstr Surg 2017; 139:20e-28e.   DOI
15 Ramaswamy S, Wilson JA, Colvin L. Non-opioid-based adjuvant analgesia in perioperative care. Contin Educ Anaesth Crit Care Pain 2013;13:152-7.   DOI
16 Fahy AS, Jakub JW, Dy BM, et al. Paravertebral blocks in patients undergoing mastectomy with or without immediate reconstruction provides improved pain control and decreased postoperative nausea and vomiting. Ann Surg Oncol 2014;21:3284-9.   DOI
17 Wolf O, Clemens MW, Purugganan RV, et al. A prospective, randomized, controlled trial of paravertebral block versus general anesthesia alone for prosthetic breast reconstruction. Plast Reconstr Surg 2016;137:660e-666e.   DOI
18 Pace MM, Sharma B, Anderson-Dam J, et al. Ultrasound-guided thoracic paravertebral blockade: a retrospective study of the incidence of complications. Anesth Analg 2016; 122:1186-91.   DOI
19 Salibian AA, Frey JD, Thanik VD, et al. Transversus abdominis plane blocks in microsurgical breast reconstruction: analysis of pain, narcotic consumption, length of stay, and cost. Plast Reconstr Surg 2018;142:252e-263e.   DOI
20 Jablonka EM, Lamelas AM, Kim JN, et al. Transversus abdominis plane blocks with single-dose liposomal bupivacaine in conjunction with a nonnarcotic pain regimen help reduce length of stay following abdominally based microsurgical breast reconstruction. Plast Reconstr Surg 2017; 140:240-51.   DOI
21 Malik O, Kaye AD, Kaye A, et al. Emerging roles of liposomal bupivacaine in anesthesia practice. J Anaesthesiol Clin Pharmacol 2017;33:151-6.
22 Diaz M. Teen's parents speak out [Internet]. Deerfield Beach, FL: South Florida Sun Sentinel; c2009 [cited 2018 Nov 26]. Available from https://www.sun-sentinel.com/news/fl-xpm-2009-09-24-0909230487-story.html.
23 American Society of Plastic Surgeons. 2017 Cosmetic plastic surgery statistics [Internet]. Arlington Heights, IL: The Society; c2017 [cited 2018 Nov 14]. Available from https://www.plasticsurgery.org/documents/News/Statistics/2017/plastic-surgery-statistics-report-2017.pdf.
24 American Society of Plastic Surgeons. 2016 Cosmetic plastic surgery statistics [Internet]. Arlington Heights, IL: The Society; c2016 [cited 2018 Nov 14]. Available from https://www.plasticsurgery.org/documents/News/Statistics/2016/plastic-surgery-statistics-full-report-2016.pdf.
25 Messer L, Katersky. Joan Rivers' cause of death revealed [Internet]. New York, NY: ABC News; c2014 [cited 2018 Nov 26]. Available from https://abcnews.go.com/Entertainment/joan-rivers-death-revealed/story?id=25264318.
26 Phillips S. Dental patient's sudden death raises questions [Internet]. San Diego, CA: FOX 5 San Diego; c2013 [cited 2018 Nov 26]. Available from https://fox5sandiego.com/2013/ 04/02/dental-patients-sudden-death-raises-questions/.
27 CBS News 2016. Dental visit deaths spark push for political action [Internet]. New York, NY: CBS News; c2016 [cited 2018 Nov 26]. Available from https://www.cbsnews.com/news/todder-dental-visit-dead-anesthesia-dangers/.
28 Crowdrise. Raven Maria Blanco Foundation Inc. [Internet]. c2007 [cited 2018 Nov 26]. Available from https://www.crowdrise.com/rmbf.
29 Healy M. After child surgery deaths, experts discuss the risks [Internet]. McLean, VA: USA Today; c2014 [cited 2018 Nov 26]. Available from https://www.usatoday.com/story/news/nation/2014/01/11/children-dental-tonsils/4405525/.
30 Vila H Jr, Soto R, Cantor AB, et al. Comparative outcomes analysis of procedures performed in physician offices and ambulatory surgery centers. Arch Surg 2003;138:991-5.   DOI
31 Twersky R, Posner KL, Domino KB. Liability in office-based anesthesia: closed claims analysis. Presented at the Anesthesiology Annual Meeting; 2013. A2078.
32 Soltani AM, Keyes GR, Singer R, et al. Outpatient surgery and sequelae: an analysis of the AAAASF internet-based quality assurance and peer review database. Clin Plast Surg 2013;40:465-73.   DOI
33 Kung TA, Kong SW, Aliu O, et al. Effects of vacuum suctioning and strategic drape tenting on oxygen concentration in a simulated surgical field. J Clin Anesth 2016;28:56-61.   DOI
34 Shapiro FE, Punwani N, Rosenberg NM, et al. Office-based anesthesia: safety and outcomes. Anesth Analg 2014;119: 276-85.   DOI
35 Gupta V, Parikh R, Nguyen L, et al. Is office-based surgery safe? Comparing outcomes of 183,914 aesthetic surgical procedures across different types of accredited facilities. Aesthet Surg J 2017;37:226-35.   DOI
36 Choi JW, Kim DK, Lee SH, et al. Comparison of safety profiles between non-operating room anesthesia and operating room anesthesia: a study of 199,764 cases at a Korean tertiary hospital. J Korean Med Sci 2018;33:e183.   DOI
37 Mehta SP, Bhananker SM, Posner KL, et al. Operating room fires: a closed claims analysis. Anesthesiology 2013;118: 1133-9.   DOI
38 Engel SJ, Patel NK, Morrison CM, et al. Operating room fires: part II. optimizing safety. Plast Reconstr Surg 2012; 130:681-9.   DOI
39 American Society of Anesthesiologists Task Force on Operating Room Fires, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology 2008;108:786-801.   DOI
40 Klein JA, Jeske DR. Estimated maximal safe dosages of tumescent lidocaine. Anesth Analg 2016;122:1350-9.   DOI
41 Barker JC, DiBartola K, Wee C, et al. Preoperative multimodal analgesia decreases postanesthesia care unit narcotic use and pain scores in outpatient breast surgery. Plast Reconstr Surg 2018;142:443e-450e.   DOI
42 Association of Anaesthetists of Great Britain & Ireland (AAGBI) Safety Guide. Local anaesthetic toxicity [Internet]. London: Association of Anaesthetists; c2018 [cited 2018 Dec 13]. Available from https://www.aagbi.org/sites/default/files/QRH_3-10_Local_anaesthetic_toxicity_v1.pdf.
43 Kelley BP, Bennett KG, Chung KC, et al. Ibuprofen may not increase bleeding risk in plastic surgery: a systematic review and meta-analysis. Plast Reconstr Surg 2016;137:1309-16.   DOI
44 Gobble RM, Hoang HL, Kachniarz B, et al. Ketorolac does not increase perioperative bleeding: a meta-analysis of randomized controlled trials. Plast Reconstr Surg 2014;133: 741-55.   DOI
45 Davidson JD, Turner K. Ketorolac does not increase postoperative bleeding: a meta-analysis of randomized controlled trials. Plast Reconstr Surg 2015;135:648e-649e.   DOI
46 Gritsenko K, Khelemsky Y, Kaye AD, et al. Multimodal therapy in perioperative analgesia. Best Pract Res Clin Anaesthesiol 2014;28:59-79.   DOI
47 Afonso AM, Newman MI, Seeley N, et al. Multimodal analgesia in breast surgical procedures: technical and pharmacological considerations for liposomal bupivacaine use. Plast Reconstr Surg Glob Open 2017;5:e1480.   DOI
48 Armstrong KA, Davidge K, Morgan P, et al. Determinants of increased acute postoperative pain after autologous breast reconstruction within an enhanced recovery after surgery protocol: a prospective cohort study. J Plast Reconstr Aesthet Surg 2016;69:1157-60.   DOI