Abstract:
BACKGROUND:Perioperative hypothermia can lead to surgical complications, including bleeding, infection, increased patient discomfort, and longer recovery time. Plastic surgeons have become increasingly aware of this important patient safety issue. OBJECTIVES:The authors evaluate the impact of perioperative warming in an outpatient plastic surgery setting. METHODS:A retrospective review was performed of 108 patients who received several simple measures to prevent perioperative hypothermia. Patients dressed in warm clothing and were covered with an electric blanket in both the holding area and the recovery room. Intraoperative interventions included higher ambient room temperature, skin exposure only at the surgical site, forced-air warming, and the use of warmed fluids. This warmed group was compared with a historical control group of 106 patients who underwent plastic surgery in the period immediately before implementation of these measures. Patient demographics and procedural characteristics were similar for the 2 groups. RESULTS:The requirement for intraoperative analgesia was significantly lower for the warmed group (111 vs 125 µg fentanyl in the control group; P = .042). Patients in the warmed group required less time in the recovery room and met discharge criteria sooner (127 vs 141 minutes; P = .001). No significant difference was observed in the incidence of complications. CONCLUSIONS:Simple measures to maintain perioperative normothermia improve patient comfort and recovery following aesthetic surgery. Through a continuous-improvement culture, the authors have successfully implemented warming strategies that prevent perioperative hypothermia and improve surgical outcomes.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Lista F,Doherty CD,Backstein RM,Ahmad Jdoi
10.1177/1090820X12449342subject
Has Abstractpub_date
2012-07-01 00:00:00pages
613-20issue
5eissn
1090-820Xissn
1527-330Xpii
32/5/613journal_volume
32pub_type
杂志文章abstract:Background:Research regarding quality of life (QoL) among women who have undergone breast aesthetic surgery is expanding. A comparative, anonymous study between the two main breast aesthetic procedures is needed. Objectives:The authors compared patient characteristics and aspects of QoL among women who underwent breas...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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更新日期:2018-11-12 00:00:00
abstract:BACKGROUND:Lips are considered a key element of facial attractiveness due to their central position in the face and their elemental role in verbal and nonverbal communication. OBJECTIVES:The authors sought to provide clinically relevant information on the 3-dimensional pathway of the superior and inferior labial arter...
journal_title:Aesthetic surgery journal
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abstract:BACKGROUND:Capsular contracture (CC) is the most common complication following primary breast augmentation and one of the most common causes of reoperation. Various studies have suggested certain risk factors, including incision choice. OBJECTIVES:The authors investigate a possible association between the three most c...
journal_title:Aesthetic surgery journal
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abstract:BACKGROUND:The mechanism of breast implant rupture has continued to be an important topic throughout the plastic surgery community and regulatory agencies, such as the US Food and Drug Administration. Retrieved ruptured implants returned to Allergan (Santa Barbara, CA; formerly Inamed Corporation) for analysis exhibit ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2007.04.001
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Breast capsular contracture is a major problem following implant-based breast reconstruction, particularly in the setting of radiation therapy. Recent work has identified a fibrogenic fibroblast subpopulation characterized by CD26 surface marker expression. OBJECTIVES:This work aimed to investigate the role...
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abstract:BACKGROUND:It is well known that improving postoperative pain control in plastic surgery procedures leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. OBJECTIVE:The authors evaluate the use of abdominal field block injections with liposomal bupivicaine (...
journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
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更新日期:2020-12-08 00:00:00
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journal_title:Aesthetic surgery journal
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更新日期:2004-07-01 00:00:00
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journal_title:Aesthetic surgery journal
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更新日期:2012-01-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
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更新日期:2020-01-01 00:00:00