According to the data of CCID consultants, in 2019, the number of medical and beauty diagnosis and treatment exceeded 10 million, with a year-on-year increase of 34.29%, and maintained such a rapid growth for three consecutive years. According to the white paper on insight into Chinas medical cosmetology industry in 2020 (hereinafter referred to as the white paper) released by iResearch earlier this year, the scale of Chinas medical beauty market will reach 176.9 billion yuan in 2019. According to its accounting, there are about 13000 institutions with medical beauty qualification in China in 2019. Among the legal medical and aesthetic institutions, 15% of them are operating beyond the scope of business, which is illegal It is estimated that there are more than 80000 living beauty shops carrying out medical beauty projects illegally.
Behind the high growth is chaos. According to the white paper, there is a gap of nearly 300000 anesthesiologists in China according to the population base. According to the experts investigation, accidents in Chinas medical cosmetology industry occur frequently in black medicine and beauty institutions, with an average annual death toll of about 100000, which makes it difficult for consumers to protect their rights.
Recently, several fatal anesthesia accidents in plastic surgery have put the topic of medical and aesthetic safety and standardization into the air of public opinion again. Why does anesthesia accident happen frequently in plastic surgery? What links need to be paid more attention by consumers and medical institutions?
Accidents are not inevitable
Anesthesia is divided into injection and inhalation. In some operations in our hospital that require general and induced anesthesia, a short acting intravenous anesthetic called propofol will be used. This anesthetic is fast acting and metabolized, but it may inhibit the patients breathing. Wang Hao told the first financial reporter.
it happens that there is a similar case. On the 10th of this month, a media report revealed that Luo Beier, granddaughter of a wealthy Hong Kong businessman in China, died accidentally during plastic surgery in South Korea because of adverse reactions caused by the controlled drug propofol used as a sedative; in addition, the South Korean police report also showed that before the operation, the hospital had passed the basic drug examination before the operation, and the operation consent form that must be filled in by the patient himself was also treated Please fill in the form at will.
On the 6th of this month, an online friend posted that her best friend Xiaojiao had an accident during nose augmentation in Changzhou Muyan medical plastic surgery institution, during which blood pressure and heart rate began to drop, but she still died of invalid rescue. Local police investigation found that the medical institutions and doctors have complete certificates, which is not illegal practice.
Zhou Jian, deputy director of the Xinbei District Health Inspection Institute in Changzhou City, Jiangsu Province, recently told CCTV that on October 10, they filed a case against relevant medical institutions and related illegal medical personnel. At present, the main illegal acts found are: medical institutions fail to report major medical disputes to the health administrative department in accordance with the regulations; anesthetists fail to prescribe narcotic drugs in accordance with the regulations; and surgeons have physician qualification certificates, but they have not registered and filed with the medical institutions.
How to carry out the normal anesthesia process of an operation? The anesthesiologist of a top three hospital in Shanghai told the first finance and economics reporter: the first is the preoperative evaluation. We should carry out the interview and evaluation of the patients according to the ASA classification, and understand their past medical history; during the operation, we should closely monitor and deal with the unexpected complications in time to maintain the hemodynamic stability; after the operation, we should help the patients smoothly pass the perioperative period, and Follow up follow-up, participation in pain management, etc
Generally speaking, the above-mentioned plastic surgery requires simultaneous insertion of laryngeal mask or endotracheal intubation for patients. Under the condition of ensuring mechanical ventilation, there is no accident caused by excessive propofol. In the absence of endotracheal intubation, if there is no close monitoring, improper use of propofol will lead to respiratory depression, resulting in asphyxia
Anesthesiology is a branch of clinical medicine, anesthesiologists need to have the qualification of licensed doctors to carry out clinical practice. According to the white paper, there is a gap of nearly 300000 anesthesiologists in China according to the population base statistics. According to the 12% increase in the annual operation volume in China, at least 8000 people will be increased every year, but the actual increase is only 4000. The number of doctors who can be allocated to the medical and beauty industry is not optimistic, which is a great challenge for the medical and aesthetic industry.
To be a qualified anesthesiologist, the professional level required is no less than that of a specialist.
All kinds of violations need to ring the alarm
The second is that plastic surgery institutions with anesthesia qualification bring customers through various platforms (mainly Internet Celebrities) that charge high intermediary fees, and employ professional doctors to implement intraoperative anesthesia. In this mode, in order to control the cost of plastic surgery, one anesthesiologist is often responsible for multiple operations, which seriously does not conform to the standard Sun Baoshan said. The standard operation is that one anesthesiologist can see one operation at most, and a nurse is needed to assist.
Sun Baoshan said that if consumers need to have more than one facial and body plastic surgery in one day, it is actually not considered. The superposition of operations can cause excessive trauma. Therefore, we should prevent consumers from having too many surgeries at one time.
The third is the occasional accident in plastic surgery. For example, fat, hyaluronic acid filling misoperation into the blood vessels, will cause certain organ damage Sun added.
It is worth noting that in the above-mentioned Changzhou medical and aesthetic accident, Xiao Jiao, 21, has undergone three operations since 2:00 p.m., including lip shaping (m-lip), breast augmentation with prosthesis and rhinoplasty. In the last operation, the bridge of the nose plastic surgery, it is more than 10 oclock in the evening. At this time, Xiaojiaos blood pressure and heart rate began to drop. After taking corresponding emergency measures, the medical and American institutions sent Xiaojiao to Changzhou Wujin peoples Hospital for emergency treatment, but she was finally unable to recover.
Since 2014, documents such as evaluation standards for medical beauty institutions, detailed rules for implementation of evaluation standards for medical beauty institutions (2018 Edition) and management measures for evaluation of medical and beauty institutions of China plastic and cosmetic association have been issued in succession to clarify the management of access requirements for medical institutions, doctors and projects.
In August 2019, Shanghai released the negative list of medical service information and advertising terms, and formulated information release rules for medical advertisements published on the Internet platform, so as to rectify the chaos of medical beauty.
I know that the safety accidents in medical and American institutions are almost caused by illegal anesthesia. Aohushan, a member of the CPPCC and director of anesthesia department of Fuwai Hospital of the Chinese Academy of Medical Sciences, told the media earlier that medical beauty should be a high threshold industry in fact.
Aohushan suggested that first, first of all, to medical personnel engaged in medical cosmetology, industry personnel lectures and training; so that every soon to enter the industry must first learn first-aid knowledge, such as cardiopulmonary resuscitation, and obtain relevant certificates; second, pay attention to the training of sensory control knowledge, such as whether disinfection has passed the standard, and must get the sense control certificate All of them need to be further standardized.
How to solve the fatal medical and aesthetic problems? Its mainly because theres no specific regulation yet. Sun Baoshan said, after the occurrence of some existing plastic surgery accidents, most of the cases will be settled by the institutions and the families of patients through consultation, and rarely made public. If the death cases are not discussed and investigated, there will be no warning. For plastic surgery institutions, it is necessary to have anesthesia qualification, hire anesthesiologists with professional standards, and resolutely stop the situation of one person taking care of multiple sets; other times, we should strictly abide by the existing rules and regulations. The reporter learned that recently, sun Baoshan is leading the plastic surgery experts in the industry to conduct risk assessment on 200 medical beauty projects currently carried out in Shanghai. We require all plastic surgery institutions to sign a green channel agreement with the nearby tertiary hospitals, so that they can be transferred in time if necessary. Sun Baoshan said. Source of this article: Guo Chenqi, editor in charge of first finance and Economics_ NBJ9931
How to solve the fatal medical and aesthetic problems? Its mainly because theres no specific regulation yet. Sun Baoshan said, after the occurrence of some existing plastic surgery accidents, most of the cases will be settled by the institutions and the families of patients through consultation, and rarely made public. If the death cases are not discussed and investigated, there will be no warning.
For plastic surgery institutions, it is necessary to have anesthesia qualification, hire anesthesiologists with professional standards, and resolutely stop the situation of one person taking care of multiple sets; other times, we should strictly abide by the existing rules and regulations.
The reporter learned that recently, sun Baoshan is leading the plastic surgery experts in the industry to conduct risk assessment on 200 medical beauty projects currently carried out in Shanghai. We require all plastic surgery institutions to sign a green channel agreement with the nearby tertiary hospitals, so that they can be transferred in time if necessary. Sun Baoshan said.