Dermatol Clin. 1990 Jul;8(3):425-37.

The tumescent technique. Anesthesia and modified liposuction technique.

Source

Department of Dermatology, University of California, Irvine.

Abstract

Using the tumescent technique, liposuction can remove large volumes of fat with minimal blood loss. A maximal safe dosage of dilute lidocaine using the tumescent technique is estimated to be 35 mg/kg. The slow infiltration of a local anesthetic solution of lidocaine and epinephrine minimizes the rate of systemic absorption and reduces the potential for toxicity. Dilution of lidocaine (0.05% of 0.1%) and epinephrine (1:1,000,000) further delays absorption and reduces the magnitude of peak plasma lidocaine concentrations. Using the tumescent technique for liposuction, peak plasma lidocaine levels occur 12 hours after the initial injection. Clinically significant local anesthesia persists for up to 18 hours. For liposuction, it is not necessary to use local anesthetics, which are longer acting and potentially more cardiotoxic than lidocaine.

PMID:: 2199105; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms, Substances

Publication Types

Review

MeSH Terms

Substances

LinkOut - more resources

Molecular Biology Databases

Supplemental Content

Save items

Related citations in PubMed

Review Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. [J Dermatol Surg Oncol. 1990]
Review Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction.
Klein JA. J Dermatol Surg Oncol. 1990 Mar; 16(3):248-63.
Tumescent and syringe liposculpture: a logical partnership. [Aesthetic Plast Surg. 1995]
Tumescent and syringe liposculpture: a logical partnership.
Hunstad JP. Aesthetic Plast Surg. 1995 Jul-Aug; 19(4):321-33.
Tumescent technique for local anesthesia improves safety in large-volume liposuction. [Plast Reconstr Surg. 1993]
Tumescent technique for local anesthesia improves safety in large-volume liposuction.
Klein JA. Plast Reconstr Surg. 1993 Nov; 92(6):1085-98; discussion 1099-100.
Lidocaine and epinephrine levels in tumescent technique liposuction. [Plast Reconstr Surg. 1996]
Lidocaine and epinephrine levels in tumescent technique liposuction.
Burk RW 3rd, Guzman-Stein G, Vasconez LO. Plast Reconstr Surg. 1996 Jun; 97(7):1379-84.
Review Tumescent liposuction and improved postoperative care using Tumescent Liposuction Garments. [Dermatol Clin. 1995]
Review Tumescent liposuction and improved postoperative care using Tumescent Liposuction Garments.
Klein JA. Dermatol Clin. 1995 Apr; 13(2):329-38.

See reviews... See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Compound (MeSH Keyword)
PubChem chemical compound records that are classified under the same Medical Subject Headings (MeSH) controlled vocabulary as the current articles.
Substance (MeSH Keyword)
PubChem chemical substance (submitted) records that are classified under the same Medical Subject Headings (MeSH) controlled vocabulary as the current articles.

Recent activity

Clear Turn Off Turn On

The tumescent technique. Anesthesia and modified liposuction technique.
The tumescent technique. Anesthesia and modified liposuction technique.
Dermatol Clin. 1990 Jul ;8(3):425-37.

PubMed
Severe bullous skin diseases: analysis of seven children managed in a burns unit...
Severe bullous skin diseases: analysis of seven children managed in a burns unit.
Ann Burns Fire Disasters. 2006 Dec 31 ;19(4):180-7.

PubMed
Current status of meniscus salvage.
Current status of meniscus salvage.
Clin Sports Med. 1990 Jul ;9(3):567-76.

PubMed
Reporting standards for angioplasty and stent-assisted angioplasty for intracran...
Reporting standards for angioplasty and stent-assisted angioplasty for intracranial atherosclerosis.
J Neurointerv Surg. 2010 Dec ;2(4):324-40.

PubMed
Three-dimensional structures of H-ras p21 mutants: molecular basis for their ina...
Three-dimensional structures of H-ras p21 mutants: molecular basis for their inability to function as signal switch molecules.
Cell. 1990 Aug 10 ;62(3):539-48.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: