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Nitrous oxide as an adjunct in tumescent liposuction.
Garrett Bird1, Clifford Albert
1Mc Gill University, Montreal, Quebec, Canada.
Journal of Cosmetic Dermatology
|December 16, 2006
Summary
Nitrous oxide (N(2)O) is a safe and effective anesthetic adjunct for tumescent liposuction, offering patient-controlled pain relief with minimal risk. This review details its history, safety, and application in ambulatory surgery.
Area of Science:
- Anesthesiology
- Cosmetic Surgery
- Pain Management
Background:
- Nitrous oxide (N(2)O) has a 300-year history as a safe and effective anesthetic.
- N(2)O is reviewed as an adjunct for tumescent liposuction in ambulatory surgery.
- The article covers N(2)O's history, mechanism, use, and safety profile.
Purpose of the Study:
- To review the history of tumescent liposuction and N(2)O in surgery.
- To discuss potential adverse reactions associated with N(2)O.
- To establish guidelines for N(2)O use during tumescent liposuction.
Main Methods:
- A Medline literature review from 1966-2004 was conducted.
- Search terms included "nitrous oxide," "safety," "anesthetic," and "tumescent liposuction."
- Articles were selected based on relevance, evidence level, and publication date.
Main Results:
- Nitrous oxide is a safe, inexpensive, and easily administered adjunct to tumescent liposuction.
- It provides effective, patient-controlled pain management without inducing full anesthesia.
- Proper use minimizes risks for patients and healthcare workers.
Conclusions:
- Nitrous oxide is a valuable and safe adjunct for tumescent liposuction.
- Patient-controlled analgesia with N(2)O enhances surgical experience.
- Adherence to guidelines ensures safe application in ambulatory settings.
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