Dallas, Texas From the Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center.
Plast Reconstr Surg. 2012 Sep;130(3):470e-478e. doi: 10.1097/PRS.0b013e31825dc349.
After reading this article, the participant should be able to: 1. Recognize risk factors for venous thromboembolism and identify patients who would benefit from prophylactic anticoagulation; 2. Describe the effects of hypothermia in the perioperative period. 3. Understand the importance of blood pressure control in the plastic surgery patient.
This article provides a summary of important factors that contribute to improved patient safety in plastic surgery. The identification of patients and procedures that have an increased risk of complications enables the physician to carry out prophylactic measures to reduce the rate of these complications. Venous thromboembolism, hypothermia, bleeding diathesis, and perioperative hypertension are identifiable risks of plastic surgery, which can lead to significant morbidity and mortality. An evidence-based system and individual practice measures can help to decrease these risks. Thorough preoperative patient evaluation, detailed informed consent, and perioperative care delivered in a safe environment can contribute to improved safety in plastic surgery.
阅读本文后，参与者应能够：1. 识别静脉血栓栓塞的风险因素，并确定哪些患者将受益于预防性抗凝治疗；2. 描述围手术期低温的影响；3. 了解控制高血压在整形手术患者中的重要性。
本文总结了有助于提高整形手术患者安全性的重要因素。识别具有更高并发症风险的患者和手术程序使医生能够采取预防措施来降低这些并发症的发生率。静脉血栓栓塞、低体温、出血倾向和围手术期高血压是整形手术可识别的风险，可导致显著的发病率和死亡率。基于证据的系统和个体实践措施有助于降低这些风险。彻底的术前患者评估、详细的知情同意书以及在安全环境中提供的围手术期护理有助于提高整形手术的安全性。
