By Melvin A. Shiffman, Alberto Di Giuseppe
This fantastically illustrated publication covers all elements of liposuction: anatomy, pathology, biochemistry, preoperative care, apparatus, the whole variety of strategies, problems, postoperative care, results, lipedema, and clinical criminal features. in comparison with the winning first version, the textual content has been greatly up to date and plenty of extra chapters incorporated, with specific cognizance to lately brought concepts. whereas new expertise is helping to enhance effects, adventure, care, and talent at the a part of the beauty health care provider are crucial if optimum effects passable to the sufferer are to be accomplished. The members to this publication have expended a lot effort and time to offer the beauty and plastic healthcare professional with as a lot info as attainable at the suggestions and makes use of of liposuction for the needs of beauty and non-cosmetic surgical procedure. Liposuction: ideas and Practice might be of price for citizens and fellows and for practising and hugely skilled surgeons in cosmetic surgery, plastic surgery, basic surgical procedure, and different subspecialties.
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Extra resources for Liposuction: Principles and Practice
Sample text
An anesthesiologist or a certified nurse anesthetist (CRNA) may administer anesthesia. The surgeon may prefer to perform the surgery using exclusively local anesthesia without parenteral sedation, especially in limited procedures such as liposuctions with the tumescent technique [32]. However, many surgeons add parenteral sedative or analgesic medications with the local anesthetic. If the surgeon chooses to administer parenteral sedative–analgesic medications, then another designated, licensed, preferably experienced individual should monitor the patient throughout the perioperative period [33].
The advent of minimally invasive procedures has further reduced the need for hospital-based surgeries. Regulatory agencies such as American Association for Accreditation of Ambulatory Surgery (AAAASF) and Accreditation Association for Ambulatory Health Care (AAAHC) have helped establish minimum standards of care for surgical locations where anesthesia is administered. Ambulatory anesthesia has even become a formal subspecialty of anesthesia with the establishment of the Society for Ambulatory Anesthesia (SAMBA) in 1984.
A variety of indexing systems have been proposed to help stratify patients according to risk factors. One such classification, first proposed in 1941 [55], later modified in 1961 by Dripps et al. D. Bennett 8 accepted method of preoperative risk assessment. Numerous studies have confirmed the value of the ASA system in predicting which patients are at a higher risk for morbidity [58] and mortality [59–61]. Goldman and Caldera [62] established a multifactorial index based on cardiac risk factors. This index has repeatedly demonstrated its usefulness in predicting perioperative mortality [63, 64].