Managing errors and complications in aesthetic medicine

描述

Managing errors and complications in aesthetic medicine
:
Botulinum Toxin, Cellulitis, Dental aesthetics, Dentistry, Dermatology, Diet, Facial Correction, Fillers, Hyaluronic Acid, Medical Laser Technology, Rhinoplasty

Authors:Maurizio Cavallini and Paola Molinari
Printed in February 2016
Page:350

Chapter 1 – General risks in aesthetic medicine…..

Molinari – Bezer

EVALUATION, PREVENTION AND NORMS OF IMMEDIATE MEDICAL AND PHARMACOLOGICAL INTERVENTION…….

SERIOUS COMPLICATIONS…

ANAPHYLACTIC SHOCK….

ABCD EVALUATION…..

BREATHING…..

C – CIRCULATION + D – DISABILITY……

TREATMENT……..

PANIC ATTACKS…..

DEFINITION AND SYMPTOMS – TREATMENT…..

PRESYNCOPE….

DEFINITION – SYMPTOMS – TREATMENT….

SYNCOPE….

DEFINITION – TREATMENT….

MILD ALLERGIC REACTION: ISOLATED SKIN REACTIONS….

SYMPTOMS – TREATMENT….

Chapter 2 – Local anesthetics – guidelines and complication management…..

Molinari – Bezer – Cavallini – Bettelli

CRITERIA FOR CHOOSING LOCAL ANESTHESIA…..

TYPES OF LOCAL OR TOPICAL ANESTHETICS….

RISK AND LOCAL ANESTHETICS: TOXICITY….

PATIENT EVALUATION….

CHOICE OF LOCAL ANESTHETIC AND METHODS OF ADMINISTRATION….

TOPICAL ANESTHESIA…

LOCAL ANESTHETICS: SYMPTOMS OF TOXICITY…..

USE OF ADJUVANTS….

CLINICAL OVERSIGHT….

MANAGING FAILURE….

DOCUMENTING ACTIVITIES AND THE FORMS USED….

DISCHARGE….

AUDITS, CORRECTIVE ACTIONS AND QUALITY CONTROL….

SIDE EFFECTS OF LIDOCAINE…

BIBLIOGRAPHY……

Chapter 3 – Side effects and complications from injectable treatments…….

Cavallini – Fundarò – Molinari – Tarantino

3a. Absorbable fillers by M. Cavallini and S. Fundarò….

3a. 1 SIDE EFFECTS AND COMPLICATIONS FROM RESORBABLE FILLERS by M. Cavallini….

COMPLICATIONS ABSORBABLE FILLERS….

TYPES OF DERMAL FILLERS AND VOLUMIZING FILLERS…

SIDE EFFECTS AND COMPLICATIONS FROM RESORBABLE FILLERS….

BIBLIOGRAPHY…

3a. 2. HYALURONIDASE by M. Cavallini…..

WHAT IS HYALURONIDASE USED FOR?……

HOW MANY UNITS SHOULD BE INFILTRATED?….

BIBLIOGRAPHY….

3b. Permanent Fillers

3b. 1. NON-ABSORBABLE FILLERS: COMPLICATIONS AND THEIR MANAGEMENT by P. Tarantino….

INJECTABLE LIQUID SILICONE….

COMPLICATIONS…

IMMEDIATE COMPLICATIONS….

SHORT-TERM COMPLICATIONS….

DELAYED COMPLICATIONS…

ACRYLATE-BASED PERMANENT FILLERS….

POLYMETHYLMETHACRYLATE (ARTECOLL)….

POLYACRYLAMIDE (BIOALCAMID)….

AQUAMID…..

BIBLIOGRAPHY….

3b. 2. Treatment of granulomas from foreign bodies or from the use of permanent fillers by P. Molinari….

INTRALESIONAL INJECTION OF CORTICOSTEROIDS….

Chapter 4 – Side Effects and Complications from Peeling…..

Molinari – Pupelli

SIDE EFFECTS OF PEELING….

IMMEDIATE COMPLICATIONS….

PAIN, BURNING AND IRRITATION….

PERSISTANT ERYTHEMA….

ITCHING….

EDEMA….

BLISTERS….

DELAYED COMPLICATIONS…..

INFECTIONS….

HYPERPIGMENTATION……

HYPOPIGMENTATION…..

MILIA…..

CHANGES IN SKIN TEXTURE…..

ATROPHY…..

SCARS……

ALLERGIC REACTIONS FROM CONTACT….

ACCIDENTAL COMPLICATIONS….

EYE COMPLICATIONS…..

BIBLIOGRAPHY…..

Chapter 5 – Side effects and complications from laser treatments….

Marini – D’Angelo

LASER COMPLICATIONS…..

INTRODUCTION……

SHORT-TERM SIDE EFFECTS……

PAIN….

EDEMA….

ITCHING….

PURPURA….

CONTACT DERMATITIS…..

BACTERIAL INFECTIONS…..

FUNGAL INFECTIONS….

VIRAL INFECTIONS….

LONG-TERM SIDE EFFECTS….

MILIA….

ACNE….

ERYTHEMA….

HYPERPIGMENTATION….

HYPOPIGMENTATION….

SCARS….

SYNECHIA…

OTHER SIDE EFFECTS…..

COMPLICATIONS RELATIVE TO SAFETY….

EYES…

PERSONNEL CONTAMINATION….

CONCLUSIONS….

Chapter 6 – Side effects and complications for sclerosing treatments….

Frullini

SIDE EFFECTS AND COMPLICATIONS FROM SCLEROTHERAPY

FROM VEIN INSUFFICIENCY OF THE LOWER LIMBS….

GENERAL INFORMATION ON SCLEROTHERAPY…
SIDE EFFECTS AND COMPLICATIONS OF MINOR SCLEROSIS (TELANGIECTASIA AND RETICULAR)…
SIDE EFFECTS AND COMPLICATIONS OF MAJOR SCLEROSIS…
SIDE EFFETS AND COMPLICATIONS OF SCLEROSING FOAM….
HOW TO LIMIT THE ONSET OF SIDE EFFECTS AND COMPLICATIONS IN SCLEROTHERAPY….
BIBLIOGRAPHY…

Chapter 7 – Side effects and complications from treatment for adiposity and cellulite…

Ceccarelli

MESOTHERAPY….

LYMPHODRAINING….

CARBOXYTHERAPY….

OXYGEN OZONE THERAPY….

LIPOSUCTION…..

ULTRASOUND…..

Chapter 8 – Side effects and complications from Botulinum toxin treatment….

Cavallini – Fundarò

TREATMENT WITH BOTULINUM TOXIN….

BIBLIOGRAPHY….

Chapter 9 – Side effects and complications in the use of revitalizing and support threads…

Fundarò – Cavallini – Russo

COMPLICATIONS WITH ABSORBABLE AND NON-ABSORBABLE BIOREVITALIZING AND SUPPORT THREADS…

REVIEW OF THE LITERATURE AND PERSONAL EXPERIENCE….

COMPLICATIONS….

BIBLIOGRAPHY…

Chapter 10 – Ecchymoses and hematomas from aesthetic medicine treatments….

Ceccarelli

ECCHYMOSES AND HEMATOMAS:

SIDE EFFECTS AND COMPLICATIONS FROM TREATMENT…

HEMATOMAS…

Chapter 11 – Side effects and complications from ultrasound, radiofrequency and cavitation treatments….

Basso – Di Lella

CAVITATION….

A SHORT HISTORY OF CAVITATION

ULTRASONIC WAVES, BIOLOGICAL TISSUE AND THE CAVITATIONAL PHENOMENON…

EFFECTS OF ULTRASOUND ON BIOLOGICAL TISSUE…

CAVITATION AND BIOLOGICAL TISSUE

THE “JOURNEY” OF TRIGLYCERIDES…

ROLE OF THE LIVER…

PRODUCTION OF ULTRASONIC WAVES….

GENERAL APPROACH TO TREATMENT WITH ULTRASOUND

LIPOCAVITATION: TREATMENT ZONES…

CLINICAL EFFECT…

SIDE EFFECTS…

MANAGING SIDE EFFECTS…

CONCLUSIONS…

RADIOFREQUENCY….

ACTION MECHANISM…

TREATMENT….

PATIENTS TO TREAT WITH RF…

SIDE EFECTS ON THE SKIN: FROM HEAT….

MANAGING THE SIDE EFFECTS….

BIBLIOGRAPHY…

Chapter 12 – Psychological aspects and patient management….

Molinari

PSYCHOLOGICAL ASPECTS AND PATIENT MANAGEMENT IN AESTHETIC MEDICINE….

CHOOSING AND EVALUATING THE PATIENT….

THE INTERVIEW…

OBJECTIVE EXAMINATION….

HOW TO MANAGE A PATIENT WITH COMPLICATIONS….

Legal and Medical-Legal Aspects

Chapter 13 – Medical-legal aspects of complications in aesthetic medicine…..

Rocchi

MEDICAL-LEGAL CONSIDERATIONS ON COMPLICATIONS IN AESTHETIC MEDICINE….

Chapter 14 – Oversight and pharmacovigilance…..

Lerro

INTRODUCTION…..

OVERSIGHT….

MEDICAL DEVICES – DEFINITION….

SYSTEMS OF OVERSIGHT – DEFINITION AND GOALS…..

ACCIDENTS – DEFINITION, OBLIGATIONS AND METHODS OF NOTIFICATION….

MISHAPS – DEFINITION, OBLIGATIONS AND METHODS OF NOTIFICATION…

PHARMACOVIGILANCE….

MEDICATIONS – DEFINITION….

SYSTEMS OF PHARMACOVIGILANCE – DEFINITION AND PURPOSE…

ADVERSE REACTIONS – DEFINITIONS, OBLIGATIONS AND METHODS OF NOTIFICATION…