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Complications in Maxillofacial Cosmetic Surgery pp 73–90Cite as

Anesthesia Complications: Management and Prevention

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Abstract

The volume of cosmetic surgery continues to grow rapidly, so does the demand for skilled anesthesia care. Although anesthesia for facial cosmetic surgical procedures remains remarkably safe, no anesthesia should be considered minor. Complications can occur at any time. Proper preoperative evaluation, patient selection, incorporation of a safety checklist, and close collaboration with the surgeon will decrease adverse events leading to increased patient safety and improved outcomes.

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References

  1. The American Society for Aesthetic Plastic Surgery’s (ASAPS) statistics. 2014. http://www.surgery.org/sites/default/files/2014-Stats.pdf. Accessed 19 Jan 2016.

  2. Keyes GR, Singer R, Iverson RE, et al. Mortality in outpatient surgery. Plast Reconstr Surg. 2008;12:245–50.

    Article  Google Scholar 

  3. Blake DR. Office-based anesthesia: dispelling common myths. Aesthet Surg J. 2008;28:564–70.

    Article  PubMed  Google Scholar 

  4. Bitar G, Mullis W, Jacobs W, et al. Safety and efficacy of office-based surgery with monitored anesthesia care/sedation in 4778 consecutive plastic surgery procedures. Plast Reconstr Surg. 2003;111:150–6.

    Article  PubMed  Google Scholar 

  5. Melloni C. Anesthesia and sedation outside the operating room: how to prevent risk and maintain good quality. Curr Opin Anaesthesiol. 2007;20:513–9.

    Article  PubMed  Google Scholar 

  6. Byrd HS, Barton FE, Orenstein HH, et al. Safety and efficacy in an accredited outpatient plastic surgery facility: a review of 5316 consecutive cases. Plast Reconstr Surg. 2003;112:636–41.

    Article  PubMed  Google Scholar 

  7. Hancox JG, Venkat AP, Coldiron B, et al. The safety of office-based surgery: review of recent literature from several disciplines. Arch Dermatol. 2004;140:1379–82.

    Article  PubMed  Google Scholar 

  8. Coldiron B, Shreve E, Balkrishnan R. Patient injuries from surgical procedures performed in medical offices: three years of Florida data. Dermatol Surg. 2004;30:1435–43.

    PubMed  Google Scholar 

  9. Caloss R, Lard MD. Anesthesia for office-based facial cosmetic surgery. Atlas Oral Maxillofac Surg Clin North Am. 2004;12:163–77.

    Article  PubMed  Google Scholar 

  10. Taub PJ, Bashey S, Hausman LM. Anesthesia for cosmetic surgery. Plast Reconstr Surg. 2010;125:1e–7e.

    Article  CAS  PubMed  Google Scholar 

  11. Prendiville S, Weiser S. Management of anesthesia and facility in facelift surgery. Facial Plast Surg Clin North Am. 2009;17:531–8.

    Article  PubMed  Google Scholar 

  12. Hoefflin SM, Bornstein JB, Gordon M. General anesthesia in an office-based plastic surgical facility: a report on more than 23,000 consecutive office-based procedures under general anesthesia with no significant anesthetic complications. Plast Reconstr Surg. 2001;107:243–51.

    Article  CAS  PubMed  Google Scholar 

  13. Metzner J, Posner KL, Lam MS, et al. Closed claims’ analysis. Best Pract Res Clin Anaesthesiol. 2011;25:263–76.

    Article  PubMed  Google Scholar 

  14. Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104:228–34.

    Article  PubMed  Google Scholar 

  15. Waddle J, Coleman J. General anesthesia in an office-based plastic surgical facility: a report on more than 23,000 consecutive office-based procedures under general anesthesia with no significant anesthetic complications by Steven M. Hoefflin, M.D., John B. Bornstein, M.D., Martin Gordon, M.D [discussion]. Plast Reconstr Surg. 2001;107:256–7.

    Article  Google Scholar 

  16. American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004–17.

    Article  Google Scholar 

  17. Bailey PL, Pace NL, Ashburn MA, et al. Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology. 1990;73:826–30.

    Article  CAS  PubMed  Google Scholar 

  18. Blouin RT, Conard PF, Perreault S, et al. The effect of flumazenil on midazolam-induced depression of the ventilator response to hypoxia during isohypercarbia. Anesthesiology. 1993;78:635.

    Article  CAS  PubMed  Google Scholar 

  19. Gross JB, Blouin RT, Zandsberg S, et al. Effect of flumazenil on ventilator drive during sedation with midazolam and alfentanil. Anesthesiology. 1996;85:713.

    Article  CAS  PubMed  Google Scholar 

  20. Gross JB, Weller RS, Conard P. Flumazenil antagonism of midazolam-induced ventilatory depression. Anesthesiology. 1991;75:179.

    Article  CAS  PubMed  Google Scholar 

  21. Kheterpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology. 2006;105:885–91.

    Article  PubMed  Google Scholar 

  22. Kheterpal S, Martin L, Shanks AM, et al. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics. Anesthesiology. 2009;110:891–7.

    Article  PubMed  Google Scholar 

  23. Haddow GR, Brodsky JB, Brock-Utne JG, et al. Difficult laryngoscopy masked by previous cosmetic surgery. Plast Reconstr Surg. 1991;87:1143–4.

    CAS  PubMed  Google Scholar 

  24. Mandel JE. Laryngeal mask airways in ear, nose, and throat procedures. Anesthesiol Clin. 2010;28:469–83.

    Article  PubMed  Google Scholar 

  25. Atef A, Fawaz A. Comparison of laryngeal mask with endotracheal tube for anesthesia in endoscopic sinus surgery. Am J Rhinol. 2008;22:653–7.

    Article  PubMed  Google Scholar 

  26. Kaplan A, Crosby GJ, Bhattacharyya N. Airway protection and the laryngeal mask airway in sinus and nasal surgery. Laryngoscope. 2004;114:652–5.

    Article  PubMed  Google Scholar 

  27. Devereaux PJ, Xavier D, Pogue J, et al. Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery: a cohort study. Ann Intern Med. 2011;154:523–8.

    Article  CAS  PubMed  Google Scholar 

  28. Devereaux PJ, Yang H, Yusuf S, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet. 2008;371:1839–47.

    Article  CAS  PubMed  Google Scholar 

  29. Landesberg G, Beattie WS, Mosseri M, et al. Perioperative myocardial infarction. Circulation. 2009;119:2936–44.

    Article  PubMed  Google Scholar 

  30. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100:1043–9.

    Article  CAS  PubMed  Google Scholar 

  31. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2007;116:e418–500.

    Article  PubMed  Google Scholar 

  32. Wijeysundera DN, et al. Perioperative beta blockade in noncardiac surgery: a systematic review for the 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;130:2246–64.

    Article  CAS  PubMed  Google Scholar 

  33. Chopra V, Wesorick DH, Sussman JB, et al. Effect of perioperative statins on death, myocardial infarction, atrial fibrillation, and length of stay: a systematic review and meta-analysis. Arch Surg. 2012 Feb;147(2):181–9.

    Article  CAS  PubMed  Google Scholar 

  34. Devereaux PJ, Mrkobrada M, et al. Aspirin in patients undergoing noncardiac surgery. N Engl J Med. 2014;370:1494–503.

    Article  CAS  PubMed  Google Scholar 

  35. Pannucci CJ, Bailey SH, Dreszer G, et al. Validation of the Caprini risk assessment model in plastic and reconstructive surgery patients. J Am Coll Surg. 2011;212:105–12.

    Article  PubMed  Google Scholar 

  36. Murphy RX Jr, Alderman A, Gutowski K, et al. Evidence-based practices for thromboembolism prevention: summary of the ASPS Venous Thromboembolism Task Force report. EBM special topic-online. Plast Reconstr Surg. 2012;130:259.

    Article  Google Scholar 

  37. Iverson RE, ASPS Task Force. Patient safety in office-based surgery facilities: I. Procedures in the office-based surgery setting. Plast Reconstr Surg. 2002;110(5):1337–42.

    Article  PubMed  Google Scholar 

  38. Iverson RE, Lynch DJ, ASPS Task Force. Patient safety in office-based surgery facilities: II. Patient selection. Plast Reconstr Surg. 2002;110(7):1785–92.

    Article  PubMed  Google Scholar 

  39. Rigg BM. Deep vein thrombosis after face-lift surgery [letter]. Plast Reconstr Surg. 1997;100:1363.

    Article  CAS  PubMed  Google Scholar 

  40. Reinisch JF, Bresnick SD, Walker JWT, et al. Deep venous thrombosis and pulmonary embolus after facelift: a study of incidence and prophylaxis. Plast Reconstr Surg. 2001;107:1570–5.

    Article  CAS  PubMed  Google Scholar 

  41. Abboushi N, Yezhelyev M, Symbas J, et al. Facelift complications and the risk of venous thromboembolism: a single center’s experience. Aesthet Surg J. 2012;32(4):413–20.

    Article  PubMed  Google Scholar 

  42. Murphy RX, Schmitz D, Rosolowski K. Evidence based practices for thromboembolism prevention: a report from the ASPS Venous Thromboembolism Task Force. American Society of Plastic Surgeons: Arlington Heights, IL; 2011.

    Google Scholar 

  43. Gould MK. Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis. Chest. 2012;141:e227S–77S.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Amar D. Strategies for perioperative arrhythmias. Best Pract Res Clin Anaesthesiol. 2004;18:565–77.

    Article  PubMed  Google Scholar 

  45. Walsh SR, Tang T, Wijewardena C, et al. Postoperative arrhythmias in general surgical patients. Ann R Coll Surg Engl. 2007;89:91–5.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Braz LG. Perioperative cardiac arrest: a study of 53718 anaesthetics over 9 yr from a Brazilian teaching hospital. Br J Anaesth. 2006;96:569–75.

    Article  CAS  PubMed  Google Scholar 

  47. Smetana GW, Lawrence VA, Cornell JE. Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med. 2006;144:581.

    Article  PubMed  Google Scholar 

  48. Metzner J, Posner KL, Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Cur Opin Anaesthesiol. 2009;22:502–8.

    Article  Google Scholar 

  49. Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106:617–31.

    Article  CAS  PubMed  Google Scholar 

  50. Kluger MT, Short TG. Aspiration during anaesthesia: a review of 133 cases from the Australian Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia. 1999;54:19–26.

    Article  CAS  PubMed  Google Scholar 

  51. Robinson M, Davidson A. Aspiration under anaesthesia: risk assessment and decision-making. Contin Educ Anesth Crit Care Pain. 2014;14:4171–5.

    Google Scholar 

  52. Westhorpe RN. Crisis management during anaesthesia: bronchospasm. Qual Saf Health Care. 2005;14:1–6.

    Article  Google Scholar 

  53. Dewachter P, Mouton-Faivre C, Emala CW, et al. Case scenario: bronchospasm during anesthetic induction. Anesthesiology. 2011;114:1200–10.

    Article  PubMed  Google Scholar 

  54. Visvanathan T, Kluger MT, Webb RK, et al. Crisis management during anesthesia: laryngospasm. Qual Saf Health Care. 2005;14:e3. http://www.qshc.com/cgi/content/full/14/3/e3. Accessed 9 Feb 2016.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Gan TJ, Meyer TA, Apfel CC, et al. Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2007;105:1615–28.

    Article  PubMed  Google Scholar 

  56. Koivuranta M, Läärä E, Snåre L, Alahuhta S. A survey of postoperative nausea and vomiting. Anaesthesia. 1997;52:443–9.

    Article  CAS  PubMed  Google Scholar 

  57. Sinclair DR, Chung F, Mezei G. Can postoperative nausea and vomiting be predicted? Anesthesiology. 1999;91:109–18.

    Article  CAS  PubMed  Google Scholar 

  58. Gold BS, Kitz DS, Lecky JH, Neuhaus JM. Unanticipated admission to the hospital following ambulatory surgery. JAMA. 1989;262:3008–10.

    Article  CAS  PubMed  Google Scholar 

  59. Hill RP, Lubarsky DA, Phillips-Bute B, Fortney JT, Creed MR, Glass PS, Gan TJ. Cost-effectiveness of prophylactic antiemetic therapy with ondansetron, droperidol, or placebo. Anesthesiology. 2000;92:958–67.

    Article  CAS  PubMed  Google Scholar 

  60. Tramèr MR. Strategies for postoperative nausea and vomiting. Best Pract Res Clin Anaesthesiol. 2004;18:693–701.

    Article  PubMed  Google Scholar 

  61. Apfel CC, Korttila K, Abdalla M, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350:2441–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Apfel CC, Laara E, Koivuranta M, et al. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross validations between two centers. Anesthesiology. 1999;91:693–700.

    Article  CAS  PubMed  Google Scholar 

  63. Gan TJ, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2014;118(1):85–113.

    Article  PubMed  Google Scholar 

  64. Apfel CC, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth. 2012;109(5):742–53.

    Article  CAS  PubMed  Google Scholar 

  65. Tricco AC, Soobiah AC, Blondal E, et al. Comparative safety of serotonin (5 HT3) receptor antagonists in patients undergoing surgery: a systematic review and network meta-analysis. BMC Med. 2015;13:142–55.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Grant MC, Kim J, Page AJ, et al. The effect of intravenous midazolam on postoperative nausea and vomiting: a meta-analysis. Anesth Analg. 2015;122(3):656–63.

    Article  Google Scholar 

  67. Halsall PJ, Hopkins PM. Malignant hyperthermia. Contin Educ Anaesth Crit Care Pain. 2003;3:5–9.

    Article  Google Scholar 

  68. Wappler F. Anesthesia for patients with a history of malignant hyperthermia. Curr Opin Anaesthesiol. 2010;23:417–22.

    Article  PubMed  Google Scholar 

  69. Larach MG, Brandom BW, Allen GC, Gronert GA, Lehman EB. Cardiac arrests and deaths associated with malignant hyperthermia in North America from 1987 to 2006: a report from the North American malignant hyperthermia registry of the malignant hyperthermia association of the United States. Anesthesiology. 2008;108(4):603–11.

    Article  PubMed  Google Scholar 

  70. Metterlein T, Hartung E, Schuster F, Roewer N, Anetseder M. Sevoflurane as a potential replacement for halothane in diagnostic testing for malignant hyperthermia susceptibility: results of a preliminary study. Minerva Anestesiol. 2011;77(8):768–73.

    CAS  PubMed  Google Scholar 

  71. Higgins PP, Chung F, Mezei G. Postoperative sore throat after ambulatory surgery. Br J Anaesth. 2002;88:582–4.

    Article  CAS  PubMed  Google Scholar 

  72. McHardy FE, Chung F. Postoperative sore throat: cause, prevention and treatment. Anaesthesia. 1999;54:444–53.

    Article  CAS  PubMed  Google Scholar 

  73. Stout DM, Bishop MJ, Dwersteg JF, et al. Correlation of endotracheal tube size with sore throat and hoarseness following general anesthesia. Anesthesiology. 1987;67:419–21.

    Article  CAS  PubMed  Google Scholar 

  74. Daane SP, Toth BA. Fire in the operating room: principles and prevention. Plast Reconstr Surg. 2005;115(5):73e–5e.

    Article  PubMed  Google Scholar 

  75. Rinder CS. Fire safety in the operating room. Curr Opin Anaesthesiol. 2008;21(6):790–5. Web: 12 Jan 2016.

    Article  PubMed  Google Scholar 

  76. Preventing surgical fires. Sentinel Event Alert 29 (24 June 2003). http://www.jointcommission.org/sentinel_event_alert_issue_29_ preventing_surgical_fires/.

  77. Hart SR, Yajnik A, Ashford J, Springer R, Harvey S. Operating room fire safety. Ochsner J. 2011;11(1):37–42.

    PubMed  PubMed Central  Google Scholar 

  78. Kaye A, Kolinsky D, Urman R. Management of a fire in the operating room. J Anesth. 2014;28(2):279–87. Available from: Academic Search Premier, Ipswich, MA. Accessed 12 Jan 2016.

    Article  PubMed  Google Scholar 

  79. Seifert PC, Peterson E, Graham K. Crisis management of fire in the OR. AORN J. 2015;101(2):250–63. https://doi.org/10.1016/j.aorn.2014.11.002.

    Article  PubMed  Google Scholar 

  80. Norris J. Fire safety in the operating room. AANA J. 1994;62(4):342–5. Available from: CINAHL with Full Text, Ipswich, MA. Accessed 12 Jan 2016.

    CAS  PubMed  Google Scholar 

  81. Kucera IJ, Lambert TJ, Klein JA, et al. Liposuction: contemporary issues for the anesthesiologist. J Clin Anesth. 2006;18(5):379–87.

    Article  PubMed  Google Scholar 

  82. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction: peak plasma lidocaine levels are diminished and delayed 12 hours. J Dermatol Surg Oncol. 1990;16:248–63.

    Article  CAS  PubMed  Google Scholar 

  83. Ostad A, Kageyama N, Moy RL. Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg. 1996;22:921–7.

    CAS  PubMed  Google Scholar 

  84. Lozinski A, Huq N. Tumescent liposuction. Clin Plastic Surg. 2013;40:593–613.

    Article  Google Scholar 

  85. Neal JM, Mulroy MF, Weinberg GL. American Society of Regional and Pain Medicine checklist for managing local anesthetic systemic toxicity: 2012 version. Reg Anesth Pain Med. 2012;37:16–9.

    Article  PubMed  Google Scholar 

  86. Siddik-Sayyid SM, Taha SK, Kanazi GE, et al. Excellent intubating conditions with remifentanil propofol and either low-dose rocuronium or succinylcholine. Can J Anaesth. 2009;56:483–8.

    Article  PubMed  Google Scholar 

  87. Shapiro FE. Anesthesia for outpatient cosmetic surgery. Curr Opin Anaesthesiol. 2008;21:704–10.

    Article  PubMed  Google Scholar 

  88. Ferneini EM, Sohn A, Ferneini CM, Tobin H. Prevention of venous thromboembolism in abdominoplasty. Am J Cosmet Surg. 2013;30(3):175–80.

    Article  Google Scholar 

  89. Whipple KM, Lim LH, Korn BS, et al. Blepharoplasty complications: prevention and management. Clin Plast Surg. 2013;40:213–24.

    Article  PubMed  Google Scholar 

  90. Oestreicher J, Mehta S. Complications of blepharoplasty: prevention and management. Plast Surg Int. 2012;2012:352–68.

    Google Scholar 

  91. Lykoudis EG, Seretis K. Tapia’s syndrome: an unexpected but real complication of rhinoplasty: case report and literature review. Aesthet Plast Surg. 2012;36:557–9.

    Article  Google Scholar 

  92. Naraghi M, Ghazizadeh M. Tension pneumocephalus: a life-threatening complication of septoplasty and septorhinoplasty. B-ENT. 2012;8:203–5.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Beau Visage Med Spa, Greater Waterbury OMS, Cheshire, CT, USA

    Elie M. Ferneini M.D., D.M.D., M.H.S., M.B.A.

  2. Division of Oral and Maxillofacial Surgery, University of Connecticut, Farmington, CT, USA

    Elie M. Ferneini M.D., D.M.D., M.H.S., M.B.A.

  3. Indianapolis, IN, USA

    Jeffrey Bennett D.M.D.

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  1. Elie M. Ferneini M.D., D.M.D., M.H.S., M.B.A.
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  2. Jeffrey Bennett D.M.D.
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Correspondence to Elie M. Ferneini M.D., D.M.D., M.H.S., M.B.A. .

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Editors and Affiliations

  1. University of Connecticut , Farmington, Connecticut, USA

    Elie M. Ferneini

  2. Hartford Healthcare Medical Group, Farmington, Connecticut, USA

    Charles L. Castiglione

  3. Warren Alpert Medical School of Brown University Providence, Rhode Island, Artistic Contours,Warwick, Warren Alpert Med School of Brown Univ, Warwick, Rhode Island, USA

    Mohammad Banki

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Ferneini, E.M., Bennett, J. (2018). Anesthesia Complications: Management and Prevention. In: Ferneini, E., Castiglione, C., Banki, M. (eds) Complications in Maxillofacial Cosmetic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-58756-1_7

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