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Back to the future: breast surgery with tumescent local anesthesia (TLA)?

B Boeer1, G Helms2, J Pasternak2

  • 1Department of Women's Health, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany. bettina.boeer@med.uni-tuebingen.de.

Archives of Gynecology and Obstetrics
|March 5, 2023
PubMed
Abstract

Keywords:
Breast surgeryTLATumescent local anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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