Consecuencias y riesgos de pacientes sometidos a varios tipos de cirugía plástica
Anesthetic complications in the perioperative period in plastic surgery are extremely rare, although they can be catastrophic and sometimes fatal. Proper selection and correct preoperative assessment of patients are the key to staying away from unwanted events. Pre-anesthetic evaluation is mandatory...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2021
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=7941080 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 1, 2021, pags. 57-70 |
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| Summary: |
Anesthetic complications in the perioperative period in plastic surgery are extremely rare, although they can be catastrophic and sometimes fatal. Proper selection and correct preoperative assessment of patients are the key to staying away from unwanted events. Pre-anesthetic evaluation is mandatory in each patient and should include a medical history, complete physical examination, and routine and special laboratory tests in patients with associated pathologies. Anesthetic management is based on these results, the type of surgery, the anesthesiologist's experience, and the operating environment. The anesthetic technique can be local, regional, or general with standard noninvasive monitoring. It is recommended that an anesthesiologist be present in all plastic surgery procedures. Complications are usually the result of straying from already established guidelines for excellent practice or the result of events in the place of human error. Pulmonary embolism is probably the most feared complication, with soft tissue infections being the most common complication in plastic surgery. Less common complications include arrhythmias, overhydration, allergies, bleeding, skin necrosis, wound dehiscence, brain damage, and death. Anesthesiologists, surgeons, nurses and all personnel involved in the care of these patients must work as a team of highly qualified and up-to-date professionals. |
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