Department of Anesthesia and Critical Care, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637, USA.
Clin Plast Surg. 2013 Jul;40(3):405-17. doi: 10.1016/j.cps.2013.04.005. Epub 2013 May 23.
Most outpatient cosmetic procedures are now performed in surgeons' offices, with patients under local anesthesia and minimal intravenous sedation. Sedation at any level beyond minimal creates the risk of airway obstruction and ventilatory depression, which can result in irreversible brain injury or death within minutes. This article discusses appropriate patient and procedure selection, and outlines the personnel, equipment, and techniques necessary to avoid such outcomes.
大多数门诊美容手术现在都是在外科医生的办公室进行的,患者在局部麻醉和最小剂量静脉镇静下接受手术。任何超出最小剂量的镇静水平都会增加气道阻塞和通气抑制的风险,这可能导致数分钟内发生不可逆转的脑损伤或死亡。本文讨论了合适的患者和手术选择,并概述了避免此类结果所需的人员、设备和技术。