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Anesthesia in Cosmetic Surgery 1st Edition by Barry Friedberg ISBN 0511284829 9780511286353

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Anesthesia in Cosmetic Surgery 1st Edition Barry Friedberg Digital Instant Download

Author(s): Barry Friedberg
ISBN(s): 9780511286353, 0511284829
Edition: 1
File Details: PDF, 4.11 MB
Year: 2007
Language: english
SKU: EB-1098248 Category: Tag:

Anesthesia in Cosmetic Surgery 1st Edition by Barry Friedberg – Ebook PDF Instant Download/Delivery: 0511284829, 9780511286353
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ISBN 10: 0511284829 
ISBN 13: 9780511286353
Author: Barry Friedberg

One major by-product of the aging baby-boom generation has been a surging interest in cosmetic surgery. Out-patient cosmetic surgery clinics have sprouted up in droves all over the U.S., and the number of cosmetic procedures performed in 2005 increased by over 95% from the previous year. Although procedures like facelifts and abdominoplasties (the ‘tummy-tuck’) are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Major complications involving anesthesia in this (and any other) surgical milieu can range from severe post-operative nausea and vomiting (PONV) to neuromuscular spasticity to mortality. The mortality spectrum of things may be rare, but there have been many cases in which perfectly healthy cosmetic surgery patients require emergency intervention due to a severe complication involving anesthesia. In recent years, many new anesthetic protocols have been developed to reduce the incidence of PONV and other complications, while ensuring that effective pain management and level of ‘un-awareness’ during surgery is always maintained.

Anesthesia in Cosmetic Surgery 1st Table of contents:

PART I: MINIMALLY INVASIVE ANESTHESIA (MIA) FOR MINIMALLY INVASIVE SURGERY

1. Propofol Ketamine with Bispectral Index (BIS) Monitoring

  • Introduction

  • Why Is MIA Important?

  • Postoperative Nausea and Vomiting (PONV)

  • Preemptive Analgesia & Pain Management

  • Beware Laryngospasm

  • The MIA Technique (Clonidine-Premedicated, BIS-Monitored PK MAC)

  • Why Ketamine?

  • Making Ketamine Predictable

  • Premedication

  • Fluid Management

  • BIS as Fianchetto

  • Postoperative Pain Management

  • Conclusion

  • References

  • Appendix 1-1: Defining Anesthesia Levels (Minimal, Moderate, Deep Sedation, GA)

2. Preoperative Instructions and Intraoperative Environment

  • Adjusting Surgeon & Patient Expectations

  • Conclusion

  • References

3. Level-of-Consciousness Monitoring

  • Evolution of Monitoring

  • BIS: Bispectral Index

  • Clinical Applications During GA

  • Abnormal Brain and EEG Signals

  • BIS and Drug Responses (N₂O, Ketamine, Etomidate)

  • Summary

  • References

4. The Dissociative Effect and Preemptive Analgesia

  • Dissociative Effect

  • Preemptive Analgesia

  • Conclusion

  • References

5. Special Needs of Cosmetic Dental Patients

  • Finding an Anesthesia Provider

  • Unique Dental Requirements

  • Airway Management

  • Anesthesia and Monitoring

  • PONV

  • Venue Selection

  • References

6. PK in the UK and Beyond Cosmetic Surgery

  • Breast Surgery Case Series

  • Minor Gynecological Procedures

  • Pediatric Applications

  • Conclusion

  • References

7. PK for Military and Mass-Casualty Anesthesia

  • TIVA in Combat & Austere Environments

  • Operation Iraqi Freedom

  • Future Directions

  • References

  • Appendix 7-1: News Feature on Military Use of PK

8. Lidocaine Use and Toxicity in Cosmetic Surgery

  • Pharmacology & Toxicology

  • Lidocaine in Tumescent Liposuction

  • Clinical Suggestions

  • Conclusion

  • References

9. Local Anesthetic Blocks in Head and Neck Surgery

  • Mechanism & Anatomy

  • Techniques for Trigeminal Nerve, Scalp, Neck, etc.

  • Tumescent Anesthesia

  • Summary

  • References

10. Local Anesthetics and Surgical Considerations for Body Contouring

  • Breast, Liposuction, Abdominoplasty

  • Alloplastic Body Augmentation

PART II: ALTERNATIVE ANESTHESIA APPROACHES IN COSMETIC SURGERY

11. Intravenous Anesthesia (TIVA)

  • Ideal Agents & Combinations

  • Airway Management

  • PONV Management

  • Perioperative Care

  • Conclusion

  • References

12. Regional Anesthesia

  • Spinal, Epidural, Peripheral Blocks

  • Monitoring & Sedation

  • Recovery & Discharge

  • References

13. General Inhalation Anesthesia

  • Patient Selection

  • Anesthetic Considerations by Procedure

  • Clinical Issues: MH, Thromboembolism, Fast Tracking

  • Conclusion

  • References

PART III: OTHER CONSIDERATIONS FOR ANESTHESIA IN COSMETIC SURGERY

14. Preanesthetic Assessment

  • Medical History

  • Herbal Supplements

  • Pre-op Testing

  • PONV & Aspiration Prevention

  • References

15. Psychological Aspects of Cosmetic Surgery

  • Facial & Body Procedures

  • Psychiatric Disorders (BDD, Eating Disorders)

  • Suicide Risk in Breast Implant Patients

  • References

16. The Business of Office-Based Anesthesia (OBA)

  • Client Selection

  • Due Diligence

  • Marketing

  • Billing & Collections

  • References

17. The Politics of Office-Based Anesthesia

  • Accreditation, Privileges, Scope-of-Practice

  • Professional & Legal Trends

  • Future Outlook

  • References

18. Medicolegal Perspective: Staying Out of Trouble

  • Patient & Facility Selection

  • Documentation & Monitoring

  • Emergency Management

  • Recovery Protocols

  • Being Sued: What to Do

  • References

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Tags: Barry Friedberg, Anesthesia, Cosmetic Surgery