مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
سه شنبه 28 مهر 1405
[Archive]
دوره 15، شماره 2 - ( 1405 )
جلد 15 شماره 2 صفحات 18-13 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Kiaei M. Anesthesia for Plastic and Reconstructive Surgery: Current Concepts, Challenges, and Future Directions. WJPS 2026; 15 (2) :13-18
URL: http://wjps.ir/article-1-1640-fa.html
URL: http://wjps.ir/article-1-1640-fa.html
Anesthesia for Plastic and Reconstructive Surgery: Current Concepts, Challenges, and Future Directions. مجله جهانی جراحی پلاستیک. 1405; 15 (2) :13-18
چکیده: (1041 مشاهده)
Plastic and reconstructive surgery encompasses a wide spectrum of procedures ranging from minor aesthetic interventions to complex microsurgical reconstructions. The heterogeneity of these procedures necessitates individualized anesthetic strategies aimed at optimizing patient safety, surgical conditions, and postoperative recovery. Contemporary practice has evolved toward multimodal, opioid-sparing, and procedure-specific anesthetic approaches, including general anesthesia, total intravenous anesthesia (TIVA), monitored anesthesia care (MAC), regional anesthesia, and local anesthetic techniques. Despite significant advances, anesthesia-related complications such as postoperative nausea and vomiting, hemodynamic instability, airway difficulties, and thromboembolic events remain clinically relevant. This narrative review summarizes current concepts in anesthesia for plastic and reconstructive surgery, emphasizing anesthetic techniques, and emerging future directions.
فهرست منابع
1. 1 Grosu-Bularda A, Hodea FV, Cretu A, et al. Reconstructive Paradigms: A Problem-Solving Approach in Complex Tissue Defects. J Clin Med 2024 Mar 17;13(6):1728. [DOI:10.3390/jcm13061728]
2. 2 Moningi S, Patki A, Padhy N, Ramachandran G. Enhanced recovery after surgery: An anesthesiologist's perspective. J Anaesthesiol Clin Pharmacol 2019 Apr;35(Suppl 1):S5-s13. [DOI:10.4103/joacp.JOACP_238_16]
3. 3 Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surg 2017 Mar 1;152(3):292-8. [DOI:10.1001/jamasurg.2016.4952]
4. 4 Nath SS, Roy D, Ansari F, Pawar ST. Anaesthetic complications in plastic surgery. Indian J Plast Surg 2013 May;46(2):445-52. [DOI:10.4103/0970-0358.118626]
5. 5 Ellsworth WA, Basu CB, Iverson RE. Perioperative considerations for patient safety during cosmetic surgery - preventing complications. Can J Plast Surg 2009 Spring;17(1):9-16. [DOI:10.1177/229255030901700106]
6. 6 Goswami U, Jain A. Anaesthetic implications of free-flap microvascular surgery for head and neck malignancies - A relook. J Anaesthesiol Clin Pharmacol 2021 Oct-Dec;37(4):499-504. [DOI:10.4103/joacp.JOACP_22_20]
7. 7 Toia F, D'Arpa S, Massenti MF, Amodio E, Pirrello R, Moschella F. Perioperative antibiotic prophylaxis in plastic surgery: a prospective study of 1,100 adult patients. J Plast Reconstr Aesthet Surg 2012 May;65(5):601-9. [DOI:10.1016/j.bjps.2011.11.038]
8. 8 Bharadwaj S, Dougherty W. Anesthesia for office-based facial plastic surgery procedures. World J Otorhinolaryngol Head Neck Surg 2023 Sep;9(3):200-5. [DOI:10.1002/wjo2.131]
9. 9 Ghai B, Jafra A, Bhatia N, Chanana N, Bansal D, Mehta V. Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review. J Anaesthesiol Clin Pharmacol 2022 Jan-Mar;38(1):3-10. [DOI:10.4103/joacp.JOACP_362_19]
10. 10 Joshi GP, Kehlet H. Postoperative pain management in the era of ERAS: An overview. Best Pract Res Clin Anaesthesiol 2019 Sep;33(3):259-67. [DOI:10.1016/j.bpa.2019.07.016]
11. 11 Beloeil H. Opioid-free anesthesia. Best Pract Res Clin Anaesthesiol 2019 Sep;33(3):353-60. [DOI:10.1016/j.bpa.2019.09.002]
12. 12 Lee JH. Anesthesia for ambulatory surgery. Korean J Anesthesiol 2017 Aug;70(4):398-406. [DOI:10.4097/kjae.2017.70.4.398]
13. 13 Harfaoui W, Alilou M, El Adib AR, et al. Patient Safety in Anesthesiology: Progress, Challenges, and Prospects. Cureus 2024 Sep;16(9):e69540. [DOI:10.7759/cureus.69540]
14. 14 Kincaid S, How J, Agrawal DK. Multimodal Analgesia in the Perioperative Period of Major Surgeries: An In-depth Analysis. Anesth Crit Care 2025;7(3):68-76. [DOI:10.26502/acc.086]
15. 15 Cadillo RA, Roic LS, Salvador P, Lostia H, Cucchiaro JJV. Comment on the Safe Management of Sedation for Plastic Surgery. Plastic & Reconstructive Surgery 2011 2011/07/01;128(1):338-9. [DOI:10.1097/PRS.0b013e318217401c]
16. 16 Sohrabpour M, Sahraei R, Jahromi MSS, et al. Anesthesia Techniques in In-Office Aesthetic Surgery: A Narrative Review. Journal of Emergency Health Care 2023;12(3):27-32.
17. 17 Çekmen N, Oba Ş, Haka D. "Ten Optimal Physiological Parameters" to keep the patient safe perioperatively: A narrative review. Saudi J Anaesth 2026 Apr-Jun;20(2):405-17. [DOI:10.4103/sja.sja_599_25]
18. 18 Li LT, Chitilian HV, Alfille PH, Bao X. Airway management and anesthesia for airway surgery: a narrative review. Transl Lung Cancer Res 2021 Dec;10(12):4631-42. [DOI:10.21037/tlcr-21-917]
19. 19 Yoo YC, Bai SJ, Lee KY, Shin S, Choi EK, Lee JW. Total intravenous anesthesia with propofol reduces postoperative nausea and vomiting in patients undergoing robot-assisted laparoscopic radical prostatectomy: a prospective randomized trial. Yonsei Med J 2012 Nov 1;53(6):1197-202. [DOI:10.3349/ymj.2012.53.6.1197]
20. 20 Smith AW, Nestor CC, Irwin MG. Total intravenous anaesthesia in emergency surgery: a narrative review. Anaesthesia 2026 Feb;81(2):263-73. [DOI:10.1111/anae.70085]
21. 21 Sohn HM, Ryu JH. Monitored anesthesia care in and outside the operating room. Korean J Anesthesiol 2016 Aug;69(4):319-26. [DOI:10.4097/kjae.2016.69.4.319]
22. 22 Torrano V, Anastasi S, Balzani E, et al. Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI). J Anesth Analg Crit Care 2025 May 14;5(1):26. [DOI:10.1186/s44158-025-00245-y]
23. 23 Bakeer AH, Kamel KM, Abdelgalil AS, Ghoneim AA, Abouel Soud AH, Hassan ME. Modified Pectoral Nerve Block versus Serratus Block for Analgesia Following Modified Radical Mastectomy: A Randomized Controlled Trial. J Pain Res 2020;13:1769-75. [DOI:10.2147/JPR.S252539]
24. 24 Uttamani RR, Venkataram A, Venkataram J, Mysore V. Tumescent Anesthesia for Dermatosurgical Procedures Other Than Liposuction. J Cutan Aesthet Surg 2020 Oct-Dec;13(4):275-82. [DOI:10.4103/JCAS.JCAS_192_19]
25. 25 Lovett-Carter D, Kendall MC, Park J, Ibrahim-Hamdan A, Crepet S, De Oliveira G. The effect of systemic lidocaine on post-operative opioid consumption in ambulatory surgical patients: a meta-analysis of randomized controlled trials. Perioper Med (Lond) 2021 Apr 13;10(1):11. [DOI:10.1186/s13741-021-00181-9]
26. 26 Pasternak GW. Opiate pharmacology and relief of pain. J Clin Oncol 2014 Jun 1;32(16):1655-61. [DOI:10.1200/JCO.2013.53.1079]
27. 27 Schoenbrunner AR, Joshi GP, Janis JE. Multimodal Analgesia in the Aesthetic Plastic Surgery: Concepts and Strategies. Plast Reconstr Surg Glob Open 2022 May;10(5):e4310. [DOI:10.1097/GOX.0000000000004310]
28. 28 Engel SJ, Patel NK, Morrison CM, et al. Operating room fires: part II. optimizing safety. Plast Reconstr Surg 2012 Sep;130(3):681-9. [DOI:10.1097/PRS.0b013e31825dc14a]
29. 29 Osman BM, Shapiro FE. Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea. Arch Plast Surg 2019 May;46(3):189-97. [DOI:10.5999/aps.2018.01473]
30. 30 Altman AD, Helpman L, McGee J, et al. Enhanced recovery after surgery: implementing a new standard of surgical care. Cmaj 2019 Apr 29;191(17):E469-e75. [DOI:10.1503/cmaj.180635]
31. 31 Yi R, Li Z, Yang X, Huang T, Liu H, Zhang J. The Utilization of Ultrasound-Guided Regional Nerve Blocks in Anesthetic Management for Fracture Surgery. J Pain Res 2025;18:353-66. [DOI:10.2147/JPR.S492151]
32. 32 Zeng S, Qing Q, Xu W, et al. Personalized anesthesia and precision medicine: a comprehensive review of genetic factors, artificial intelligence, and patient-specific factors. Front Med (Lausanne) 2024;11:1365524. [DOI:10.3389/fmed.2024.1365524]
33. 33 Giri R, Firdhos SH, Vida TA. Artificial Intelligence in Anesthesia: Enhancing Precision, Safety, and Global Access Through Data-Driven Systems. J Clin Med 2025 Sep 29;14(19). [DOI:10.3390/jcm14196900]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
