Essential Pharmaceutical Drugs in the Filler Emergency Kit.

IF 2 3区 医学 Q2 SURGERY
Javier Madero-Pérez, Marta Gil-Martinez, Cristina Muñoz-Gonzalez, Paula Martin-Marfil, Nabil Fakih-Gomez
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引用次数: 0

Abstract

Introduction: The rise in clinical procedures utilizing dermal fillers necessitates preparedness for potential emergencies. Effective management of complications arising from filler use, including vascular occlusions and allergic reactions, hinges on the availability of the appropriate pharmacological supplies.

Methods: A two-tiered search in PubMed and Google Scholar was conducted to identify essential drugs for dermal filler emergencies. An initial 10-year review used keywords "Dermal Fillers," "vascular occlusion," and "hyaluronidase," followed by a targeted search on "Resuscitation guidelines," "anaphylaxis management," "allergy fillers," and "lidocaine." This article outlines the critical drug inventory for emergency kits to manage filler-related complications effectively.

Results: An ORA classification system (Obligatory, Recommended, Advisable) is introduced to categorize essential drugs according to urgency and clinical necessity. The required drugs are grouped based on their application in cases of vascular occlusion without ocular involvement, vascular occlusion with ocular involvement, anaphylactic reactions, cardiopulmonary resuscitation and hemodynamic disorders, delayed reactions, and aseptic, oxygen, and topical treatments. Additionally, the importance of meticulous drug inventory management-including tracking of stock entry, exit, and expiration dates-is emphasized to reduce the risk of shortages.

Conclusion: Ensuring that filler emergency kit is well stocked with vital pharmacological supplies is imperative for effective emergency management during filler procedures. Adopting systematic inventory practices and utilizing the ORA classification can enhance preparedness and patient safety.

Level of evidence v: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

导言:随着使用皮肤填充剂的临床手术的增加,有必要为潜在的紧急情况做好准备。有效处理使用填充剂引起的并发症,包括血管闭塞和过敏反应,取决于是否有适当的药物供应:方法:我们在 PubMed 和 Google Scholar 上进行了两级搜索,以确定皮肤填充剂紧急情况下的必备药物。最初的 10 年回顾使用了 "皮肤填充剂"、"血管闭塞 "和 "透明质酸酶 "等关键词,随后有针对性地搜索了 "复苏指南"、"过敏性休克管理"、"过敏填充剂 "和 "利多卡因"。本文概述了应急包的关键药物清单,以有效处理填充剂相关并发症:结果:引入了 ORA 分类系统(必备、推荐、建议),根据紧迫性和临床必要性对必备药物进行分类。所需药物根据其在无眼部受累的血管闭塞、有眼部受累的血管闭塞、过敏反应、心肺复苏和血流动力学紊乱、延迟反应以及无菌、氧气和局部治疗中的应用情况进行分组。此外,还强调了细致管理药品库存的重要性,包括跟踪库存的入库、出库和有效期,以降低短缺风险:确保填充剂应急包备有充足的重要药物供应,是在填充手术过程中进行有效应急管理的必要条件。采用系统化的库存管理方法并利用 ORA 分类法可加强准备工作和患者安全:本期刊要求作者为每篇文章指定证据级别。有关这些循证医学等级的完整描述,请参阅目录或在线作者须知 www.springer.com/00266 。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.40
自引率
25.00%
发文量
479
审稿时长
3 months
期刊介绍: Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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