Abstract

WHIZAR-LUGO, Víctor M. et al. Anestesia espinal para cirugía de corta estancia en cirugía plástica. Anest. Méx. [online]. 2017, vol.29, suppl.1, pp.41-63. ISSN 2448-8771.

Outpatient and short-stay plastic surgery procedures have increased recently up to 45.7% due to lower prices, global availability of plastic surgeons, better and safer anaesthetic techniques. This exponential growth has been increased by greater information in the media, most notably by means of the enlightenment shown in the internet. Every day more complex patients forcé anaesthesiologists to develop better techniques using multimodal approaches before, during and after anaesthesia. Nowadays it is possible to perform ambulatory plastic surgery procedures in people with medical conditions that in the past were rejected; myocardial ischemia, arrhythmias, hypertension, coagulation disorders, lung diseases, diabetes, etcetera. Improved safety and efficacy in all anaesthesia procedures for plastic surgery is mandatory; surgeons, patients, relatives and media have their own concerns regarding anaesthesia patient safety. Local anaesthesia, plexus nerve blocks and neuroaxial techniques have been reported with excellent results, as well as patient comfort and acceptance. Spinal, epidural or combined spinal-epidural procedures are quite safe and have attained widespread use for patients undergoing ambulatory surgery below the Th3- Th4 spinal level. Spinal anaesthesia for outpatient and short-stay plastic surgery cases have been well accepted by surgeons and patients due to its rapid onset and offset, easy administration, minimal expenses, and almost no side effects or complications. Ambulatory procedures as liposuction, buttocks implants and calf implants, and many more are done properly under spinal anaesthesia. Longer surgeries like abdominoplasty, lower body lift, or combined surgeries involving upper and lower body segments are also done safely under subarachnoid or epidural anaesthesia. Small gauge pencil point needles have acceptable rates of 0 to 3 % of postdural puncture headache (PDPH);

Keywords : Spinal anaesthesia for ambulatory and Short-Stay; plastic surgery procedures; spinal anaesthesia; local anesthetics.