McEwan T1 - Oral premedication for local anesthesia in T2 plastic surgery - Prospective, random and blind comparison of lorazepam and temazepam JO - Plastic and reconstructive surgery JF - Monash University data protection policy on plastic and reconstructive surgery. Oral opioids, which can be used as a pre-treatment for plastic surgery with the patient awake, are limited because they have a relatively slow onset, from 19 to 21 years of age. This could increase the time needed for the patient to be in the clinic or require the patient to self-medicate before arriving at the clinic, which can be inconvenient and the effectiveness of the latter depends on the patient's reliability. An easily administered opioid with a rapid onset of action that has a side effect profile consistent with minimum sedation criteria could be advantageous for plastic surgery procedures with the patient awake.
Given its advantages, there is interest in using minimal sedation in a variety of plastic surgery procedures, including those that can cause severe pain. While video distraction may have a limited role in facial plastic surgery, vibrating devices have a wide application. The author recommends the protocol presented in Figure 2A for the use of 30 mcg of SST for the treatment of pain in plastic surgeries performed in a minimal sedation environment. The objective of this study is to provide a review of the state of the art on the use of anesthetics in facial plastic procedures performed in the office.
It included men and women over 18 years of age who were scheduled to undergo plastic surgery procedures while awake and who were expected to produce moderate to severe perioperative pain. (e.g., liposuction). Minimal sedation may offer several advantages over deeper levels of sedation for various plastic surgery procedures. Oral opioids, which can be used as a pre-treatment for plastic surgery with awake patients, are limited because they have a relatively slow onset.
With the right technique and patient selection, facial plastic surgeons can properly anesthetize patients to perform Mohs reconstruction, skin excisions, blepharoplasty, facelifts, and other in-office procedures. The provider who offers in-office facial plastic procedures must pay attention to both patient comfort and safety. Plastic surgery with the patient awake performed with minimal sedation has advantages including patient preference, affordability, and an easier recovery compared to when performed under deeper sedation. All 31 patients successfully completed plastic surgery procedures without interruption due to inadequate analgesia. Plastic surgery procedures generally require some type of anesthesia, and different options are better for certain procedures.
Patients undergoing plastic surgical procedures with local anesthesia while hospitalized participated in a phase III, randomized, blinded trial designed to compare two commonly used oral premedications, lorazepam and temazepam.
