Abstract
The case of a 49-year-old female with a difficult airway and history of severe postoperative nausea and vomiting (PONV) undergoing extensive plastic surgery in an office-based plastic surgery in an office-based anesthesia setting is presented. Approaches to managing a difficult airway with basic equipment in a remote setting are discussed. Effective methods of preventing PONV and pharmacological prophylaxis are discussed. The challenges introduced by the equipment, medications, production pressure, and lack of backup anesthesia support unique to these settings are discussed. The use of propofol as an effective antiemetic is discussed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Macario A, Weinger M, Carney S, Kim A. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg. 1999;89:652–8.
Gan TJ, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg. 2003;97:62–71.
Gan TJ, Glass PS, et al. Determination of plasma concentrations of propofol associated with 50% reduction in postoperative nausea. Anesthesiology. 1997;87(4):77–84.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Rivera, L.M. (2014). Plastic Surgery at a Surgeon’s Office. In: Benumof, J. (eds) Clinical Anesthesiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8696-1_60
Download citation
DOI: https://doi.org/10.1007/978-1-4614-8696-1_60
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-8695-4
Online ISBN: 978-1-4614-8696-1
eBook Packages: MedicineMedicine (R0)