Outpatient abdominoplasty facilitated by rib blocks
Striving to increase patient comfort and feasibility of performing abdominoplasties as outpatient procedures, investigators have been exploring alternative methods of anesthesia to safely avoid general anesthesia. These techniques may result in decreased narcotic administration, and decreased postop...
Saved in:
Published in | Plastic and reconstructive surgery (1963) Vol. 124; no. 2; p. 635 |
---|---|
Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
01.08.2009
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | Striving to increase patient comfort and feasibility of performing abdominoplasties as outpatient procedures, investigators have been exploring alternative methods of anesthesia to safely avoid general anesthesia. These techniques may result in decreased narcotic administration, and decreased postoperative nausea and vomiting. The authors have added the use of preoperative local anesthesia rib blocks with sedation to replace general anesthesia in abdominoplasties.
All cases of abdominoplasty performed by the senior author (B.M.M.) were reviewed from 1999 to 2006 and divided into two groups. Group 1 was composed of 39 operations performed using general anesthesia. Group 2 was composed of 29 operations performed using rib blocks placed by the surgeon and supplemented by intravenous sedation. Chart review collected data on time in the operating and recovery rooms, use of narcotics and antiemetics, frequency of postoperative nausea and vomiting, and patient-reported pain. Possible confounding factors, additional procedures, anesthetic and surgical complications, and the need for hospitalization were also recorded. Statistical analysis with two-tailed Mann-Whitney and chi-square testing was used to reject the null hypothesis when comparing the two groups.
Statistically significant decreases in recovery room time, postoperative narcotics, postoperative nausea and vomiting, and pain were achieved using rib blocks. All other measures were similar for both groups. There were no hospitalizations, pneumothoraxes, major complications or deaths.
Rib blocks placed before the start of surgery result in decreased recovery room times, pain, and postoperative nausea and vomiting, achieving increased patient comfort and feasibility of performing abdominoplasties in the outpatient setting. |
---|---|
AbstractList | Striving to increase patient comfort and feasibility of performing abdominoplasties as outpatient procedures, investigators have been exploring alternative methods of anesthesia to safely avoid general anesthesia. These techniques may result in decreased narcotic administration, and decreased postoperative nausea and vomiting. The authors have added the use of preoperative local anesthesia rib blocks with sedation to replace general anesthesia in abdominoplasties.
All cases of abdominoplasty performed by the senior author (B.M.M.) were reviewed from 1999 to 2006 and divided into two groups. Group 1 was composed of 39 operations performed using general anesthesia. Group 2 was composed of 29 operations performed using rib blocks placed by the surgeon and supplemented by intravenous sedation. Chart review collected data on time in the operating and recovery rooms, use of narcotics and antiemetics, frequency of postoperative nausea and vomiting, and patient-reported pain. Possible confounding factors, additional procedures, anesthetic and surgical complications, and the need for hospitalization were also recorded. Statistical analysis with two-tailed Mann-Whitney and chi-square testing was used to reject the null hypothesis when comparing the two groups.
Statistically significant decreases in recovery room time, postoperative narcotics, postoperative nausea and vomiting, and pain were achieved using rib blocks. All other measures were similar for both groups. There were no hospitalizations, pneumothoraxes, major complications or deaths.
Rib blocks placed before the start of surgery result in decreased recovery room times, pain, and postoperative nausea and vomiting, achieving increased patient comfort and feasibility of performing abdominoplasties in the outpatient setting. |
Author | Michaels, Basil M Eko, Frederick N |
Author_xml | – sequence: 1 givenname: Basil M surname: Michaels fullname: Michaels, Basil M organization: Pittsfield, Mass. From the Berkshire Cosmetic and Reconstructive Surgery Center and the Berkshire Medical Center – sequence: 2 givenname: Frederick N surname: Eko fullname: Eko, Frederick N |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19644285$$D View this record in MEDLINE/PubMed |
BookMark | eNo1jslKBDEUAIMozqJ_INI_0GOWl3RylEFHYWDE5Ty810kg2hvdmUP_vYJ6KOpW1Iqdd30XGLsRfCO4q-5eXt82nLhQQQkr0Hvy1RlbCi1dCRLkgq2m6ZNzUSmjL9lCOAMgrV4ydTjlAXMKXS6QfN-mrh8anPJcRKxTkzLm4AuaizFRQU1ff01X7CJiM4XrP6_Zx-PD-_ap3B92z9v7fVkrw3Opg3KgfpCBQBtOUmnA4HSwFWFEQOSuRkc2utp4AifBRBuhstFjALlmt7_d4URt8MdhTC2O8_H_Xn4DZD1JWw |
CitedBy_id | crossref_primary_10_1177_1090820X12436601 crossref_primary_10_1097_GOX_0000000000004441 crossref_primary_10_1097_PRS_0b013e3181ef8fe5 crossref_primary_10_1097_PSN_0b013e3181fd49ed crossref_primary_10_1093_asj_sjac319 crossref_primary_10_1097_SAP_0b013e3181cc2a24 crossref_primary_10_1093_asjof_ojac049 crossref_primary_10_1097_PRS_0000000000000088 crossref_primary_10_1093_asj_sjz013 crossref_primary_10_4103_ija_IJA_221_18 crossref_primary_10_1097_PRS_0b013e3181efff72 crossref_primary_10_1016_S1535_1513_09_79493_7 crossref_primary_10_1093_asj_sjz313 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1097/PRS.0b013e3181addbd7 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1529-4242 |
ExternalDocumentID | 19644285 |
Genre | Journal Article |
GroupedDBID | --- .-D .3C .55 .GJ .XZ .Z2 01R 0R~ 123 1CY 1J1 354 3EH 3O- 40H 4Q1 4Q2 4Q3 53G 5RE 5VS 71W 77Y 7O~ AAAAV AAAXR AAGIX AAHPQ AAIQE AAMOA AAMTA AAQKA AAQQT AARTV AASCR AASOK AASXQ AAUEB AAXQO ABASU ABBUW ABDIG ABJNI ABOCM ABVCZ ABXVJ ABZAD ACBNA ACCJW ACDDN ACEWG ACGFO ACGFS ACILI ACNWC ACOAL ACWDW ACWRI ACXJB ACXNZ ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEETU AENEX AFDTB AFFNX AFSOK AFUWQ AGINI AHOMT AHQNM AHRYX AHVBC AIJEX AINUH AJIOK AJNWD AJNYG AJZMW AKULP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AWKKM BOYCO BQLVK BS7 BYPQX C45 CGR CS3 CUY CVF DIWNM DU5 DUNZO E.X EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GNXGY GQDEL H0~ HLJTE HZ~ IKREB IKYAY IN~ IPNFZ J5H JF7 JF9 JG8 JK3 JK8 K8S KD2 KMI L-C L7B N4W N9A NPM N~7 N~B N~M O9- OAG OAH OBH OCUKA ODA OHH OHT OJAPA OL1 OLB OLG OLH OLU OLV OLW OLY OLZ OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OVOZU OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P R58 RIG RLZ RXW S4R S4S T8P TAF TEORI TSPGW TWZ V2I VVN W3M WH7 WOQ WOW X3V X3W X7M XXN XYM YOC ZFV ZGI ZXP ZY1 ZZMQN |
ID | FETCH-LOGICAL-c360t-5e39433942eb4560b2354ae95e87bafa4aa09ca9b8f9c6db49246f8f478fdae42 |
IngestDate | Sat Sep 28 08:27:26 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c360t-5e39433942eb4560b2354ae95e87bafa4aa09ca9b8f9c6db49246f8f478fdae42 |
PMID | 19644285 |
ParticipantIDs | pubmed_primary_19644285 |
PublicationCentury | 2000 |
PublicationDate | 2009-08-01 |
PublicationDateYYYYMMDD | 2009-08-01 |
PublicationDate_xml | – month: 08 year: 2009 text: 2009-08-01 day: 01 |
PublicationDecade | 2000 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Plastic and reconstructive surgery (1963) |
PublicationTitleAlternate | Plast Reconstr Surg |
PublicationYear | 2009 |
SSID | ssj0017365 |
Score | 2.0498705 |
Snippet | Striving to increase patient comfort and feasibility of performing abdominoplasties as outpatient procedures, investigators have been exploring alternative... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 635 |
SubjectTerms | Abdomen - surgery Adipose Tissue - surgery Adult Ambulatory Surgical Procedures Anesthesia, General Body Mass Index Conscious Sedation Female Humans Middle Aged Nerve Block - methods Postoperative Nausea and Vomiting - epidemiology Postoperative Nausea and Vomiting - prevention & control Ribs |
Title | Outpatient abdominoplasty facilitated by rib blocks |
URI | https://www.ncbi.nlm.nih.gov/pubmed/19644285 |
Volume | 124 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bS8MwFA5eQHwR73fpg2-jurVp2jyKTIawOXSDvY0kTWDMtcNNQX-9J026dnPiBdoymlK6fM3pd07O-YLQJfU4xTFTbiAodTFX3KWxXhJQEQIDhLKa1MXJzRZpdPF9L-gVi3Fm1SVTfiU-ltaV_AdVOAe46irZPyA7uymcgN-ALxwBYTj-CuOH16nVRa0wHqejQZKOgQ3rJEwmjPy2IZgvA65T1MVwUiajbX2t1WvNHGMrJvsmKxNTLZ3JOMHgKcULbJ79xExWTAbPRTy1PkwNF9YCFQMxtNM8eUyBzjLa4JNg7aAHyHl43lCaamf7Rngls0eM5MgXc2xkftuPT0W8tQYGlcdh-XLo1PEog0irg4E_FPzcuiCSnTetotUw0oaupYM2djIp9EmQV03S8HrZ42TaseYWC_5FxjM622jLOgjOjUF7B63IZBdtNG0KxB7yC9CdedCdEugOf3cAdMeAvo-6d_XObcO1K1-4wifVqRtIn2Ifdk9yYLhV7vkBZpIGMgo5UwwzVqWCUR4pKkjMMXjRREUKh5GKmcTeAVpL0kQeIQe-HzHQNOCZeqt5LJChkqJKFVac--QYHZq_2x8beZN-3hEn37acos3irTlD6wrGkzwHcjblF1nXfwIZpzj2 |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Outpatient+abdominoplasty+facilitated+by+rib+blocks&rft.jtitle=Plastic+and+reconstructive+surgery+%281963%29&rft.au=Michaels%2C+Basil+M&rft.au=Eko%2C+Frederick+N&rft.date=2009-08-01&rft.eissn=1529-4242&rft.volume=124&rft.issue=2&rft.spage=635&rft_id=info:doi/10.1097%2FPRS.0b013e3181addbd7&rft_id=info%3Apmid%2F19644285&rft_id=info%3Apmid%2F19644285&rft.externalDocID=19644285 |