RESUMO
BACKGROUND: Visual loss (blindness) caused by injection of soft tissue fillers is a rare but devastating issue to both patient and practitioner. There is a lack of any structured protocol in the management of this problem AIMS: To produce a pathway for the management of hyaluronic acid aesthetic interventional induced visual loss that was based on the current available literature and guidelines. evidence proposed guidance for the practical management of this problem. was evaluated and a pathway has been developed for patient management and specialist advice METHOD: A consensus group experts involved in aesthetic intervention, visual loss research and with experience in dealing with visual loss assessed the current literature and proposed guidelines available. Using the protocols available a pathway for the treatment of aesthetic interventional induced visual loss was proposed. RESULTS: The group produce a set of guidelines for the practitioner to use as an emergency situation and for use in a delayed presentation. The group also produced guidelines for specialists to use in a secondary care setting. CONCLUSIONS: These recommendations are based on current publications and or consensus view as there is still a lack of robust Level I data to support any particular intervention therapy.
Assuntos
Cegueira/etiologia , Cegueira/terapia , Técnicas Cosméticas/efeitos adversos , Preenchedores Dérmicos/efeitos adversos , Ácido Hialurônico/efeitos adversos , Consenso , Técnicas Cosméticas/normas , Humanos , Guias de Prática Clínica como AssuntoRESUMO
Time and motion studies have been used to analyze performance and improve outcomes. This prospective study evaluated a typical operating day at a surgical facility in the United Kingdom by recording admitting time into the hospital, entrance and exit times from theatre, and length of surgical time. The same surgical team performed 10 breast augmentations in less than 10 hr, with a mean preparation time of 9 min 20 s and a mean surgical time (from incision to closure) of 32 min. The mean exit time was 6 min 15 s, with a mean changing time between patients of about 24 min (median = 21 min). No adverse patient complications were reported.
Assuntos
Cirurgia Plástica/estatística & dados numéricos , Área Programática de Saúde , Humanos , Tempo de Internação/estatística & dados numéricos , Mamoplastia/estatística & dados numéricos , Movimento (Física) , Estudos Prospectivos , Fatores de Tempo , Reino Unido/epidemiologiaRESUMO
By aiming to relieve pain from removing blisters in partial thickness burn, we tested whether the application of a sterile lubricant (KY-Jelly) on blisters and the use of a sterile razor to remove their roof can reduce algesia in humans, compared to a conventional method. A prospective randomized controlled designed study was performed on 20 patients. A visual pain scale was used by patients to evaluate pain experienced.
