Reducing Risk for Perioperative Anesthesia Complications

Sara Meitzen; Jessica Black

doi:10.1016/j.fsc.2023.01.016

Reducing Risk for Perioperative Anesthesia Complications

Facial Plast Surg Clin North Am. 2023 May;31(2):325-332. doi: 10.1016/j.fsc.2023.01.016. Epub 2023 Feb 26.

Authors

Sara Meitzen¹, Jessica Black²

Affiliations

¹ UCSD Advanced Airway Management Program, Department of Anesthesiology, University of California San Diego School of Medicine, 200 West Arbor Drive, San Diego, CA 92103, USA. Electronic address: Smeitzen@health.ucsd.edu.
² Department of Anesthesiology, University of California San Diego School of Medicine, 200 West Arbor Drive, San Diego, CA 92103, USA.

PMID: 37001935
DOI: 10.1016/j.fsc.2023.01.016

Abstract

Aging patients and outpatient settings add complexity to the anesthetic management of facial plastic surgery, which emphasizes a quiet surgical field and smooth perioperative journey, absent rocky emergence phenomena, postoperative nausea and vomiting, prolonged post-anesthesia care unit stays, or last-minute hospital admissions. Monitored anesthesia care can be ideal with proper patient selection and a conscientious provider, although overlooking potential risks has led to catastrophic consequences, including burns, hypoxic brain injury, and death. Inherently isolated, emergency preparedness is more crucial in outpatient settings, and includes emergency training and protocol availability along with the appropriate stock of emergency equipment and medication, including dantrolene and lipid emulsion.

Keywords: Ambulatory surgery; Anesthesia complications; Facial plastic surgery complications; Office-based anesthesia.

Publication types

Review

MeSH terms

Anesthesia* / adverse effects
Anesthesia* / methods
Humans
Plastic Surgery Procedures*
Postoperative Nausea and Vomiting