[Use of Diprivan in ambulatory plastic surgery].
Numerous techniques have been proposed for use in day-case plastic surgery. Propofol combined with alfentanil bolus injections, or with local or regional anaesthesia appear to be the two most suited techniques for this type of procedure. One variation of it is becoming increasingly common: office surgery. It must be emphasized that, under these conditions, the greatest care should be taken in providing anaesthesia. Propofol has been granted a marketing licence with the following precautions: "The use of this product is restricted to anaesthetists working in private or public hospitals fully equipped with the respiratory and resuscitation equipment required for any procedure under general anaesthesia". Its use for office surgery is therefore not included in the marketing licence. Propofol's ease of use should not serve as a pretext to reduce indispensable safety measures required for anaesthesia. The rapid elimination of currently available agents, such as propofol, should lead neither to a reduction of postoperative monitoring nor to the application of less rigorous discharge criteria. These comments should be particularly taken into consideration in case of plastic surgery, where good results and not only the adequacy of the means employed are essential.
Barberousse
J P
JP
Clinique Hartman, Neuilly.
D000556:Ambulatory Surgical Procedures; D000771:Anesthesia, Intravenous / Q000379:methods*; D004357:Drug Synergism; D005283:Fentanyl / Q000494:pharmacology; D006801:Humans; D015742:Propofol / Q000494:pharmacology; D013518:Surgery, Plastic
D005283:Fentanyl; D015742:Propofol
Utilisation du Diprivan en chirurgie plastique ambulatoire.