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DOI: 10.1055/s-2006-951579
Optimal Use of Local Anesthetics and Tumescence
Publication History
Publication Date:
18 October 2006 (online)
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ABSTRACT
It is mandatory for the cosmetic surgeon to use local anesthesia in a safe and effective manner. Current trends to perform more procedures in the office setting necessitate that the surgeon become facile with achieving anesthesia while minimizing complications. In a related theme, the use of tumescence during liposuction deserves respect, despite the ease with which it is applied. Too many unnecessary complications occur as a result of its careless use, resulting in a mortality rate higher than expected for an elective cosmetic procedure. Our goal is to describe the necessary characteristics, pharmacokinetics, physiologic effects, and overall safety guidelines for use of local anesthesia and tumescence. In addition, we highlight risk factors, newer anesthetics, and new methods for pain control.
KEYWORDS
Local anesthesia - safety guidelines - tumescence - liposuction
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C. Bob BasuM.D. M.P.H.
Division of Plastic Surgery, Baylor College of Medicine
1709 Dryden, Suite 1600, BCM Mail Stop: 630, Houston, TX 77030