Evidence-Based Patient Safety Advisory: Blood Dyscrasias

Haeck, Phillip C.; Swanson, Jacob; Schechter, Loren S.; Hall-Findlay, Elizabeth J.; McDevitt, Noel B.; Smotrich, Gary A.; Reisman, Neal R.; Glasberg, Scot B.

doi:10.1097/prs.0b013e3181b54640

Cited by 13 publications

(21 citation statements)

References 81 publications

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“…Although fat reduction provides an improvement in the health status of obese patients, 10 , 11 the high risk of complications in these patients should be considered 12 because there is a very high risk associated with patients who have body mass indices greater than 35 kg/m 2 . 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

Strategies for Reducing Fatal Complications in Liposuction

Cárdenas-Camarena¹,

Gerardo

Durán³

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Background:Liposuction has become one of the most common cosmetic surgical procedures, and severe complications secondary to this procedure have also increased significantly. That is why we carry out a research work to know the most frequent severe complications reported in the scientific literature to indicate criteria for prevention.Methods:English-language scientific publications about liposuction and its complications were analyzed using the PubMed.gov, from the beginning of PubMed's history through June 10, 2017. Five terms were used to define liposuction and its complications: "liposuction," "liposuction AND complications," liposuction AND major complications," "liposuction AND complications AND death," and "liposuction AND death." The quantities of results for the 5 phrases were analyzed, along with their contents.Results:One thousand sixty-three results were obtained from 1973 through June 10, 2017 for the phrase "Liposuction and Complications" in humans; for "Liposuction and Major Complications," 153 articles were found; for "Liposuction and Deaths," 89 articles were found; and 42 articles were obtained with the terms "Liposuction and Major Complications and Deaths." After final depuration, all those that were not specific to severe liposuction complications were eliminated, leaving a total of 39 articles that were included in our study. Five problems proved to be the most serious complications when performing liposuction: Thromboembolic disease, fat embolism, pulmonary edema, lidocaine intoxication, and intraabdominal visceral lesion.Conclusions:The 5 most important complications that can cause death in liposuction are easily preventable using simple measures and proper safety protocols that are described in this work.

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Section: Discussionmentioning

confidence: 99%

Strategies for Reducing Fatal Complications in Liposuction

Cárdenas-Camarena¹,

Gerardo

Durán³

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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“…[80][81][82] Procedure length is known to impact postoperative morbidity. 51 Administration of anesthesia for more than 1 hour and operations ending after 3 pm are significant, independent predictors of unanticipated admission following surgery. 83 Although a procedure duration of less than 6 hours was accepted as a safe cutoff, those lasting more than 4 hours, as well as combined procedures (in particular with abdominoplasty), are significant risk factors for developing venous thromboembolism (VTE).…”

Section: Obesity and Procedures Characteristicsmentioning

confidence: 97%

“…83 Although a procedure duration of less than 6 hours was accepted as a safe cutoff, those lasting more than 4 hours, as well as combined procedures (in particular with abdominoplasty), are significant risk factors for developing venous thromboembolism (VTE). 51,75,[82][83][84][85] Similarly, specific to liposuction, a lipoaspirate volume less than 5 L was considered safe. 82 Two recent reviews found an increased risk of VTE in those with a lipoaspirate more than 3 L, 85 and an increased risk of VTE and other complications in those with a lipoaspirate more than 3.5 L. 86 Therefore, further postoperative monitoring can be considered for patients with a BMI more than 30 kg/m 2 , liposuction volume more than 3 L, operative time more than 4 hours, and those undergoing combined procedures.…”

Section: Obesity and Procedures Characteristicsmentioning

confidence: 99%

“…26 The ASA Patient Selection Physical Status Classification System places patients into four categories of health and ability to tolerate anesthesia. 14,32,51 Categories 1-3 are able to undergo OBS, whereas those in category 4 are not. 26,41,51,72 Conscious sedation, characterized by the patient's ability to self-maintain spontaneous respirations and airway protection, and local anesthesia can be considered in the OBS setting, including for facial and breast surgery and body contouring.…”

Section: Anesthesiamentioning

confidence: 99%

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Office-based Plastic Surgery—Evidence-based Clinical and Administrative Guidelines

Zhang

Reddy

Janis

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Outpatient procedures are extremely prevalent in plastic surgery, with an estimated 82% of cosmetic plastic surgery occurring in this setting. Given that patient safety is paramount, this practical review summarizes major contemporary, evidence-based recommendations regarding office-based plastic surgery. These recommendations not only outline clinical aspects of patient safety guidelines, but administrative, as well, which in combination will provide the reader/practice with a structure and culture that is conducive to the commitment to patient safety. Proper protocols to address potential issues and emergencies that can arise in office-based surgery, and staff familiarity with thereof, are also necessary to be best prepared for such situations.

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“… 155 , 159 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 Thus, lipoaspiration alone may not be safe for patients with heart problems or blood clotting disorders, women who are pregnant, 156 or patients with a body mass greater than 35 kg/m 2 and thus is associated with a very high risk of secondary complications. 155 , 171 , 172 , 173 More importantly, combined procedures of lipoaspiration for ADSC harvesting and implantation for bone regeneration, particularly with obese or geratiric individuals, will significantly increase the complication rates and often lead to critical safety concerns. 158 …”

Section: Adult Mesenchymal Stem Cells (Mscs)mentioning

confidence: 99%

Novel cell sources for bone regeneration

Mills

Zheng

2021

MedComm

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A plethora of both acute and chronic conditions, including traumatic, degenerative, malignant, or congenital disorders, commonly induce bone disorders often associated with severe persisting pain and limited mobility. Over 1 million surgical procedures involving bone excision, bone grafting, and fracture repair are performed each year in the U.S. alone, resulting in immense levels of public health challenges and corresponding financial burdens. Unfortunately, the innate self‐healing capacity of bone is often inadequate for larger defects over a critical size. Moreover, as direct transplantation of committed osteoblasts is hindered by deficient cell availability, limited cell spreading, and poor survivability, an urgent need for novel cell sources for bone regeneration is concurrent. Thanks to the development in stem cell biology and cell reprogramming technology, many multipotent and pluripotent cells that manifest promising osteogenic potential are considered the regenerative remedy for bone defects. Considering these cells' investigation is still in its relative infancy, each of them offers their own particular challenges that must be conquered before the large‐scale clinical application.

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Evidence-Based Patient Safety Advisory: Blood Dyscrasias

Cited by 13 publications

References 81 publications

Strategies for Reducing Fatal Complications in Liposuction

Strategies for Reducing Fatal Complications in Liposuction

Office-based Plastic Surgery—Evidence-based Clinical and Administrative Guidelines

Novel cell sources for bone regeneration

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