Tumescent local anaesthesia (TLA)has increasingly established itself as the anaesthesia
method for operations on varicose veins and has become the standard method in the
case of endovascular techniques. However, Off-label use occurs due to the reduced
concentration of the local anaesthetic, the incorporation of additives together with
a high quantity of LA which exceed the manufacturer’s recommended maximum dosage.
In spite of a lack of significant complications arising from the approved use of the
TLA and unambiguous positive evaluations of this anaesthesia method by international
medical professional associations, the operating phlebologist should inform the patient
of this Offlabel use both in the case of operative procedures and endovascular techniques
in order to avoid any legal problems.
Keywords
Tumescent local anaesthesia - Off-label use - varicose vein surgery - endovascular
occlusion of varicose veins
