Monitoring Vital Signs during Outpatient Mohs and Post-Mohs Reconstructive Surgery Performed under Local Anesthesia

Abstract

Surgical repair of Mohs defects performed under local anesthesia in the outpatient clinic setting continues to be very safe. Intraoperative vital sign measurements did not appear to be useful in detecting or avoiding potential adverse events in our patient population.

Perioperative management and the associated rate of adverse events in dermatological procedures performed by dermatologists in New Zealand

“…All specialist dermatologists practising in New Zealand as of June 2007, identified using the New Zealand Dermatological Society member's directory, were invited to participate in this study. Each dermatologist was sent an anonymous questionnaire (), which was adapted from that used by Larson and Taylor, 1 with their written permission. We allowed a 3‐month collection period with a reminder email sent 1 month before the deadline regardless of whether they had replied or not, as the authors were blinded to the identity of the respondents.…”

“…Once completed, the forms were returned to the authors by mail. The authors considered a response rate of 50% or more to be an acceptable rate, based on that achieved in the Larson and Taylor study (47.2%), 1 and also according to a survey research guideline that considered a response rate of at least 50% to be adequate for analysis and reporting for survey‐based studies 2 . The returned questionnaires were collated and statistical analyses were performed.…”

“…Following a thorough search of the literature, the only available paper was from a study involving patients undergoing Mohs' surgery 1 . The authors concluded that intraoperative vital sign measurements are not useful in detecting or avoiding potential adverse events.…”

Ambulantes Operieren in der Dermatologie

“…In ei ner Un ter su chung von Lar son und Tay lor wur de ein in tra ope ra ti ves Mo ni toring ver schie de ner Vi tal pa ra me ter bei ambu lan ter Mohs-Sur ge ry in Lo kal an äs thesie als nicht sinn voll er ach tet. Es wur den nur 0,02 ernst haf te in tra ope ra ti ve Kompli ka tio nen an ge ge ben [14].…”

Suporte básico de vida e suporte avançado de vida em cardiologia: proposta de uma nova estratégia para abordagem e prevenção das intercorrências clínicas em cirurgia dermatológica

“…1,2 No entanto, o crescente aumento da complexidade técnica com a lipoaspiração, lifting facial, tumores de maior dimensão e sedação e o envelhecimento da população com suas comorbidades fazem com que os cirurgiões dermatológicos deparem com um maior risco de complicações cirúrgicas e intercorrências clínicas que, embora raras, podem ter alto potencial de mortalidade. 3,4 Foi desenvolvido um fluxograma (Figura 1 O SBV e o SAVC foram adotados como sistemas padronizados para a abordagem de intercorrências clínicas; o primeiro selecionado para situações consideradas de baixo risco e o último, para situações de maior risco.…”