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Related Experiment Videos

[Tumescent technique for local anesthesia].

B Beck-Schimmer1, T Pasch

  • 1Institut für Anästhesiologie, Universitätsspital Zürich. beatrice.beck@ifa.usz.ch

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|February 28, 2002
PubMed
Summary
This summary is machine-generated.

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Tumescent local anesthesia, used in cosmetic and venous surgeries, carries risks of lidocaine/prilocaine toxicity, epinephrine overdose, and fluid overload. Careful patient monitoring is crucial, especially for those with cardiac or pulmonary issues.

Area of Science:

  • Anesthesiology
  • Dermatology
  • Plastic Surgery

Context:

  • Tumescent local anesthesia is widely used for liposuction, cosmetic procedures, and venous surgeries.
  • Large volumes of dilute lidocaine or prilocaine with epinephrine are infused subcutaneously.

Purpose:

  • To review the literature on tumescent local anesthesia.
  • To assess potential anesthesiological complications associated with this technique.

Summary:

  • Potential complications include lidocaine/prilocaine intoxication, epinephrine overdose, and fluid overload.
  • Plasma lidocaine concentrations generally remain below toxic levels, but high doses lack safety data.
  • Prilocaine use can lead to methemoglobinemia, and epinephrine carries risks of cardiovascular events. Fluid overload and hypovolemia are also concerns.

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Impact:

  • Highlights the need for careful administration and monitoring of tumescent local anesthesia in outpatients.
  • Suggests that patients with cardiac or pulmonary risk factors should avoid this anesthesia method.