Perioperative Medication Management in Elective Plastic Surgery Procedures.

Area of Science:

• Plastic Surgery
• Anesthesiology
• Pharmacology

Background:

• Perioperative medication management is crucial for patient safety during anesthesia and preventing postoperative complications.
• Decisions regarding preoperative medication cessation impact bleeding risk, wound healing, and anesthetic interactions.
• Existing literature lacks a comprehensive review of perioperative medication management in plastic surgery.

Approach:

• A systematic literature search of PubMed was conducted up to July 2021.
• Included studies focused on medication use and perioperative guidance in elective plastic surgery.
• Excluded were studies unrelated to plastic surgery, pediatric cases, and non-English articles.

Key Points:

• The review identified 26 relevant studies covering psychotropic drugs, hemostasis medications, hormones, antilipidemics, antihypertensives, and herbal supplements.
• Specific focus areas included psychotropic and herbal supplements, hemostasis, and hormone-containing medications.
• Recommendations were compiled from the included studies to inform clinical practice.

Conclusions:

• Perioperative medication management in plastic surgery is a complex, multidisciplinary process requiring individualized patient assessment.
• Consultation with specialists is recommended when necessary.
• Thorough medication reconciliation is vital to minimize adverse events and anesthetic interactions.