One major by-product of the aging baby-boom generation has been a
surging interest in cosmetic surgery. Out-patient cosmetic surgery
clinics have sprouted up in droves all over the U.S., and the
number of cosmetic procedures performed in 2005 increased by over
95% from the previous year. 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. Major complications
involving anesthesia in this (and any other) surgical milieu can
range from severe post-operative nausea and vomiting (PONV) to
neuromuscular spasticity to mortality. The mortality spectrum of
things may be rare, but there have been many cases in which
perfectly healthy cosmetic surgery patients require emergency
intervention due to a severe complication involving anesthesia. In
recent years, many new anesthetic protocols have been developed to
reduce the incidence of PONV and other complications, while
ensuring that effective pain management and level of 'un-awareness'
during surgery is always maintained.
General
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