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Davison, Steven P.; Porter, Nora

doi:10.1097/prs.0b013e3181ea90e2

Plastic and Reconstructive Surgery

2010

DOI: 10.1097/prs.0b013e3181ea90e2

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Lotion and Massage

Steven P. Davison

Nora Porter

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“… 2 This is a significant issue, as a plastic surgeon often must decide if a patient would benefit more from surgery or from therapy. 3 In our urban, private plastic surgery practice, we have found an explosion in the number of patients taking psychoactive drugs, prompting us to investigate potential risks for surgical patients, such as bleeding or anesthetic interactions, and the risks of temporarily stopping the medications perioperatively. These are important drugs to be reported to the anesthetist or the surgeon supervising the anesthesiologist to avoid harmful interactions.…”

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Psychoactive Drugs in Plastic Surgery

Davison

Baglien

Hayes

2017

Plastic and Reconstructive Surgery - Global Open

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Background:Psychoactive drug use is on the rise in the United States, with plastic surgery patients a potentially susceptible group. This study aimed to determine the incidence of cosmetic and reconstructive patients in our practice taking psychoactive drugs and to compare those values with the national average. Furthermore, we discuss the patient safety concerns when patients withhold their medical history information over the course of their treatment.Methods:Urban private plastic practice patients who underwent surgery in a closed practice from 2009 to 2016 were divided into cosmetic and reconstructive cohorts. Review for drug use was medical scripts, history, and Surescripts drug reporting. Extracted information includes age, race, procedure, psychoactive medications, and whether or not they stated a mental health diagnosis on their medical history forms. Only patients with complete records were included.Results:A total of 830 patients were included in statistical analysis. Due to minimal cohort number, 70 men were excluded, as there were no comparative national data. Our analysis found that 33.6% cosmetic patients and 46.3% reconstructive patients used at least one psychoactive drug.Conclusion:There is a statistically significant difference between psychoactive drug use at our practice compared with the general population and a significantly larger percentage of reconstructive patients taking drugs compared with the cosmetic cohort.

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confidence: 99%

Psychoactive Drugs in Plastic Surgery

Davison

Baglien

Hayes

2017

Plastic and Reconstructive Surgery - Global Open

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Psychoactive Drugs in Plastic Surgery

Psychoactive Drugs in Plastic Surgery

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