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ANESTHETICS IN PLASTIC SURGERY
Anesthesia and plastic surgery are two young specialties which
have complemented each other nicely, anesthesiology by itself
began in the 19th century, with the first anesthesia
registered by Dr. T G Morton in Massachusetts, in a hospital in
Boston, the following uses registered, were performed on 146
children with cleft palate and lip, with a good out come, but
it’s in the 20th century in the 60’s , when it’s
really complemented with the cosmetic surgery boom, starting in
the 60’s , in which technology improves dramatically the safety
of anesthesia, with the creation of monitorization equipments,
as electrocardiographic control, the arterial oxygen
saturation, non invasive arterial pressure etc. which gave the
anesthesiology doctors another tool for the peri operative
control of the patients who are undergoing a surgical operation.
Cosmetic surgery is better known each day and has gathered a
diverse range of patients that although have very different
physical conditions, all have the same goal to look better.
Anesthesiology tries to offer them more security and which is
accomplished by a good pre-operative evaluation, to determine
different pathologies that can not be easily determined or that
don’t present symptoms and many patients consider themselves
healthy and don’t want to have unfortunate events in their
surgical intervention.
Thanks to the evolution of new drugs, new techniques, and new
anesthesia techniques to control the physical standards, risks
are each day smaller. We should mention that the success also
depends of the ability, experience and knowledge of who gives
the anesthesia in the different procedures.
The anesthesia in cosmetic surgery has developed different
techniques to improve the patients’ and the surgeons’ comfort,
so the operation process, the recovery and the post operative
stay can be short. This has made the concept of out-patient
surgery develop, in which the patient enters the medical center
in the morning, undergoes the stipulated procedure and goes back
home the same day, accompanied by a responsible person who can
help during the recovery, it could be a family member or friend,
the patient must also keep in touch with the doctor.
The new techniques for the different plastic surgery procedures
vary. The procedure could be done under general anesthesia,
local plus sedation, regional blockade or conductive anesthesia.
Thanks to the existence of new drugs the outcome is more
satisfactory for everyone, also the patient wakes up faster,
thanks to the development of drugs with shorter effect and
quicker elimination allows the patient to have just a brief stay
in the recovery room.
All procedure has its risk, but a good evaluation, an exhaustive
analysis of the whole process and the patient’s full knowledge
of the pros and cons, will lead to a happy ending without
serious complications to lament.
Dr. José Rumbea Campozano
Anesthesiologist member of the STAFF of Dr. Monica Espinoza
Professor of Post graduate studies of USCG
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