One major by-product of the aging baby-boom generation is a surging interest in cosmetic surgery. Although procedures like facelifts and abdominoplasties (the 'tummy-tuck') are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. This reference will focus on all of the procedures that the anesthesiologist needs to be proficient in to adequately care for this group of patients. Perioperative care and pain management will be covered for the full spectrum of operations, and there will be special emphasis on level-of-consciousness monitoring of these patients.
Part I. Minimally Invasive Anesthesia (MIA) for Minimally Invasive Surgery: Preface Adam F. Dorin; Introduction C. Philip Larson; Editor's notes Barry L. Friedberg; 1. Propofol ketamine with bispectral index (BIS) monitoring Barry L. Friedberg; 2. Preoperative instructions, intra-operative environment Barry L. Friedberg; 3. Level of consciousness monitoring Scott D. Kelley; 4. The dissociative effect and pre-emptive analgesia Barry L. Friedberg; 5. Special needs of cosmetic dental patients James A. Snyder; 6. PK in the UK, PK beyond cosmetic surgery Chris Pollock; 7. PK beyond cosmetic surgery: uses of PK MAC for mass casualty situations Joel McMasters; 8. Lidocaine toxicity Adam F. Dorin; 9. Local anesthetic blocks in head and neck surgery Joseph Niamtu; 10. Local anesthetics and surgical considerations for body contouring Roger Pielet; Part II. Alternative Anesthesia Approaches in Cosmetic Surgery: 11. Intravenous anesthesia for cosmetic surgery David Barinholtz; 12. Regional anesthesia for cosmetic surgery Susan Steele and Holly Evans; 13. General inhalation anesthesia for cosmetic surgery Meena Desai; Part III. Other Considerations for Anesthesia in Cosmetic Surgery: 14. Preanesthetic assessment of the cosmetic surgery patient Norm Levin; 15. The psychology of the cosmetic surgical patient David Sarwer; 16. The business of the office anesthesia Marc Koch; 17. The politics of office anesthesia David Barinholtz; 18. Staying out of trouble: the medicolegal perspective Ann Lofsky; Appendix A. A guide to perioperative nutrition David Rahm; Appendix B. Reflections on 30 years as a defense expert witness Norig Ellison.
"The goal of the book is laudable, safer methods of anesthesia for cosmetic procedures. With use of methods described in this book, it is possible to perform
almost any cosmetic procedure without the use of general anesthesia..."
Brett Coldiron, MD, FACP