Plastic and reconstructive surgery has evolved over the last two decades, with advances in anesthesiology, pharmacology, perioperative medicine, and novel monitoring devices contributing significantly to these patients being able to recover and live safely. Patients with chronic pathologies such as diabetes, hypertension, heart disease, obesity, chronic obstructive pulmonary disease, congenital or trauma injuries, changes due to excessive weight loss and others, as well as patient-tourists who have traveled enormous distances are now able to receive cosmetic and reconstructive surgeries that in the past were rejected. The authors of this book also discuss various contemporary topics of anesthesia for plastic and reconstructive surgery that are especially interesting and controversial due to the latest developments on this subject.

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.

The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.

This new definitive resource addresses the fundamental principles of anaesthesia, underpinning sciences and the full spectrum of clinical anaesthetic practice. An international team of experts provide trustworthy, effective, and evidence-based guidance enabling clinicians to provide the very best clinical care to patients.

Given the wide-ranging nature of the literature one must study in plastic surgery training, a solid grounding in many fundamental principles and procedures is an absolute prerequisite to becoming a competent plastic surgeon. And yet, until now there has been no single source that collects these fundamental topics in one volume; rather, the information has had to be gleaned from the introductory chapters of multiple comprehensive textbooks. The present volume takes a new approach, and provides the trainee an opportunity to learn these fundamentals more efficiently and comprehensively through a single book. This work will prepare the trainee to confidently advance to the more specific core topics in reconstructive and aesthetic plastic surgery. Key Features: Highly efficient presentation and organization of all fundamental plastic surgical topics 21 chapters cover such topics as patient safety; normal and abnormal wound healing; local anesthesia and nerve blocks; soft tissue infections and antibiotics; implants and biomaterials; basic surgical techniques; grafting of fat, skin, bone, and other tissues; flaps; burns; and much more. Each chapter closes with a summary of key points. Ideal for all surgeons in training, Fundamental Topics in Plastic Surgery is a complete introduction to the science and technical expertise of aesthetic and reconstructive plastic surgery.

An updated edition of a key clinical guide to handling emergency situations... The second edition of this detailed guide to the diagnosis and treatment of common plastic surgery emergencies includes updated clinical information on the most common emergency situations. This book gives plastic surgeons, as well as any physicians who may encounter emergency plastic surgery issues, the basic skills they need to effectively treat their patients and to ultimately be successful in their practice. Key Features of the Second Edition: New chapter covering sternal wounds Easy-to-follow color diagrams demonstrating key procedures and full-color photographs for rapid diagnosis Plastic Surgery Emergencies is an indispensable resource for clinicians, residents, and trainees in plastic surgery. It is also ideal for all emergency room personnel, including ER physicians, physicians' assistants, and nurse practitioners, as well as family practice physicians.

There is a paradigm shift in plastic and reconstructive surgery from the interest of developing new surgical techniques into the application of new technologies via research based studies on stem cells, tissue engineering and new field of reconstructive transplantation such as e.g. face, hand or larynx transplants. This approach is relatively novel and introduced to plastic surgery within past decade. Thus there is an urgent need to facilitate access to this new knowledge which was not traditionally a part of plastic surgery curriculum. The most efficient way of introducing these new approaches is via presentation of pertinent to different fields (stem cell, transplantation, nerve regeneration, tissue engineering) experimental models which can be used as a tool to develop technologies of interest by different groups of surgeons. These surgical specialities which will be interested and benefit from the book include: plastic and reconstructive surgeons, microsurgeons, hand surgeons, orthopaedic surgeons, neurosurgeons and transplant surgeons.

Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.

Breast augmentation paired with mastopexy is often regarded as a challenging procedure since it is essentially two surgeries in one. Because of the complexity of the dual procedure, as well as the careful planning required, many doctors avoid performing these surgeries together, instead preferring their patient to undergo two separate surgeries.These two procedures can be safely performed with methodical planning and intra operative execution. This book provides not only insight and instruction on a variety of mastopexy procedures and accompanying types of breast augmentation, but it will also help the clinician determine the optimal surgery for each individual patient. Primarily meant for practicing aesthetic plastic surgeons, Augmentation Mastopexy -- Mastering the Art in the Management of the Ptotic Breast will also find use among plastic surgery fellows and plastic surgery residents. Unlike some of the competitive literature that briefly touches on the topic or simply provides an overview, the information provided is methodical and comprehensive, providing a wealth of color images to accompany the techniques described. Case studies with long-term follow up are also included, offering not only an understanding of potential pitfalls but a veritable how-to for handling complications when they do arise.