Tumescent anesthesia

Of 30 volunteers who had subcutaneous slow infusion tumescent anesthesia at 250 ml/hour with three solutions... 

Breuninger H. Slow infusion tumescent anesthesia. Dermatol Surg 1999 25(2) 151-2. 

Tumescent anesthesia for liposuction produces peak plasma lidocaine concentrations at 12-14 hours after the start of the infiltration, and anesthesia for up to 18 hours [37 ]. However, the speed of absorption depends on the area of injection after injection of lidocaine in the neck, the peak concentration occurred at about 6 hours compared with 12 hours after injection in... 

In a questionnaire survey 66 surgeons who had used tumescent anesthesia for liposuction reported that the complications in 15336 patients had been infrequent and minor [42 ]. There had been no serious complications such as death, embolism, hypovolemic shock, perforation of peritoneum or thorax, or thrombophlebitis. Blood transfusions had not been required and there had been no admissions to the hospital for treatment of complications. 

Contact dermatitis with prilocaine has been reported after tumescent anesthesia [47 ]. 

Death No deaths were reported with the use of tumescent anesthesia for liposuction in 396 457 cases [49 ]. However, deaths have been reported. In a review of the European literature 23 deaths were reported from 1998 to 2002 and there were 72 cases of severe complications [50 ]. 

Nervous system Brachial plexus paby has been attributed to tumescent anesthesia [45 ]. 

A large 33-year-old woman with axillary hyperhidrosis underwent bilateral liposuetion with 0.1% lidocaine (50 mg/kg) and 1 1000 000 adrenaline for tumescent anesthesia. Immediately after the procedure she developed a right-sided braehial palsy. She made a partial reeovery within 1 hour and complete reeovery by 24 hours. 

A 69-year-old woman developed prilocaine-induced methemoglobinemia after endovenous laser ablation during which prilocaine 1200 mg was used for tumescent anesthesia of four truncal veins [76 ]. She developed the signs of methemoglobinemia and required treatment with ascorbic acid and methylthioninium chloride. She recovered within 24 hours and was discharged without sequelae. 

Oba H. Large-volume tumescent anesthesia for extensive liposuction in oriental patients lidocaine toxicity and its safe dose level. Plast Reconstr Surg 2003 111(2) 945-6. 

Grose DJ. Cigarette burn after tumescent anesthesia and intravenous sedation a case report. Dermatol Surg 2003 29(4) 433-5. 

Spornraft-Ragaller P, Stein A. Contact dermatitis to prilocaine after tumescent anesthesia. Dermatol Surg 2009 35(8) 1303-6. 

Hubmer MG, Koch H, Haas FM, Horn M, Sankin O, Scharnagl E. Necrotizing fasciitis after ambulatory phlebectomy performed with use of tumescent anesthesia. J Vase Surg 2004 39(1) 263-5. 

The technical success of EVTA is defined as a procedure with successful access, crossing the segment to be treated, delivery of tumescent anesthesia and delivery of thermal energy to the entire incompetent segment. Clinical success is defined as the permanent occlusion of the treated vein segments and successful elimination of related varicose veins and... 

---