Is it common practice to have a urinary catheter (just during surgery) since general anesthesia is used? I am asking specifically for a breast augmentation and lift surgery. What other invasive peri-operative interventions are 'standard' or considered best practices? Also, are all patients NPO 12 hours prior? What about drinking water? I read some research re: drinking water up to 4-6 hours prior to surgery has no added risk and may help with patient disposition. Thoughts?
Answer: Breast augmentation We use a urinate catheter in long cases we perform. Breast augmentation takes about an hour and a catheter should not be necessary. Oral intake should be discussed with your surgeon whom I’m sure has a standard protocol fir this.
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Answer: Breast augmentation We use a urinate catheter in long cases we perform. Breast augmentation takes about an hour and a catheter should not be necessary. Oral intake should be discussed with your surgeon whom I’m sure has a standard protocol fir this.
Helpful 1 person found this helpful
Answer: Breast Augmentation Hello and thank you for your question. I try not to insert urinary catheters when I'm placing breast implants (with or without a breast lift) because they increase the risk of infection. All my patients are NPO for 8 hours but can have sips of water as needed, with morning medications for example. When you consult with a board certified plastic surgeon who specializes in aesthetic plastic surgery, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For more information on breast augmentation, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon
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Answer: Breast Augmentation Hello and thank you for your question. I try not to insert urinary catheters when I'm placing breast implants (with or without a breast lift) because they increase the risk of infection. All my patients are NPO for 8 hours but can have sips of water as needed, with morning medications for example. When you consult with a board certified plastic surgeon who specializes in aesthetic plastic surgery, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For more information on breast augmentation, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon
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April 26, 2020
Answer: Techniques are customized for each procedure We make all of our patients NPO after midnight because the surgery schedule is not set in stone. If I get 2 hours ahead of schedule I might call the last breast augmentation of the day and ask them to come in early so I don't have to change 6 patient times. If that patient was NPO for 4 hours for her planned procedure time she would not be able to move. A catheter is not necessary for this procedure unless you have had problems voiding at previous surgeries. Urinating is one of the discharge criteria. A laryngeal mask airway can be used instead of an endotracheal tube, so really all you need is noninvasive monitoring and an IV
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April 26, 2020
Answer: Techniques are customized for each procedure We make all of our patients NPO after midnight because the surgery schedule is not set in stone. If I get 2 hours ahead of schedule I might call the last breast augmentation of the day and ask them to come in early so I don't have to change 6 patient times. If that patient was NPO for 4 hours for her planned procedure time she would not be able to move. A catheter is not necessary for this procedure unless you have had problems voiding at previous surgeries. Urinating is one of the discharge criteria. A laryngeal mask airway can be used instead of an endotracheal tube, so really all you need is noninvasive monitoring and an IV
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April 23, 2020
Answer: Surgery Every surgeon has his/her preferences for surgery, as well as the anesthesiologists that he/she uses. However, urinary catheters are not standard for procedures that take less than 3 hours, and could increase the risk for infection. My routine breast augmentation with lift usually takes one to two hours. Most anesthesiologists do require no food or drink after midnight for procedures, and all will need an IV. I give all my patients a list of preoperative instructions as well as postoperative. If you are concerned about some of your surgeon's requirements, please discuss those with him/her, or choose another surgeon.
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April 23, 2020
Answer: Surgery Every surgeon has his/her preferences for surgery, as well as the anesthesiologists that he/she uses. However, urinary catheters are not standard for procedures that take less than 3 hours, and could increase the risk for infection. My routine breast augmentation with lift usually takes one to two hours. Most anesthesiologists do require no food or drink after midnight for procedures, and all will need an IV. I give all my patients a list of preoperative instructions as well as postoperative. If you are concerned about some of your surgeon's requirements, please discuss those with him/her, or choose another surgeon.
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April 22, 2020
Answer: Urinary Catheter for breast augmentation- is it standard? Thank you for your question. Generally, catheters not needed for breast augmentation procedure as these are typically a couple hours in length. For longer operations, it is helpful/comfortable for the patient to have and so the surgeon/anesthesiologist don't get wet.
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April 22, 2020
Answer: Urinary Catheter for breast augmentation- is it standard? Thank you for your question. Generally, catheters not needed for breast augmentation procedure as these are typically a couple hours in length. For longer operations, it is helpful/comfortable for the patient to have and so the surgeon/anesthesiologist don't get wet.
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April 21, 2020
Answer: Surgical Guidelines Hello! A Urinary catheter for a breast augmentation and lift is not required. I do not use this for my surgical patients as the surgery length is not long enough to benefit or warrant a catheter. Every surgeon has their own pre and post operative protocols it is extremely important to follow yours surgeons instructions. NPO 12 hours before surgery time is pretty standard. The NPO policy is important because patients who have full stomachs are at risk for getting food or liquid in their lungs during anesthesia or sedation. This could cause pneumonia or other serious health problems. Best of luck in your journey.
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April 21, 2020
Answer: Surgical Guidelines Hello! A Urinary catheter for a breast augmentation and lift is not required. I do not use this for my surgical patients as the surgery length is not long enough to benefit or warrant a catheter. Every surgeon has their own pre and post operative protocols it is extremely important to follow yours surgeons instructions. NPO 12 hours before surgery time is pretty standard. The NPO policy is important because patients who have full stomachs are at risk for getting food or liquid in their lungs during anesthesia or sedation. This could cause pneumonia or other serious health problems. Best of luck in your journey.
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