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Tumescent anaesthesia for liposuction surgery—A review
Author(s) -
Goyal Nilesh Narendra
Publication year - 2021
Publication title -
dermatological reviews
Language(s) - English
Resource type - Journals
ISSN - 2637-7489
DOI - 10.1002/der2.80
Subject(s) - liposuction , medicine , lidocaine , anesthesia , regional anaesthesia , general anaesthesia , surgery , sodium bicarbonate , local anaesthetic , chemistry
Liposuction surgery has traditionally been performed under systemic anaesthesia since its invention in mid 1970s. The concept of liposuction under tumescent local anaesthesia by Jeffrey Klein MD, USA, using a dilute mixture of lidocaine, adrenaline and sodium bicarbonate in normal saline has radically modified the outcomes of the procedure making it very safe and at the same time effective to conduct the procedure. Tumescent anaesthesia is very well accepted by dermatologists performing liposuction around the world. Not a single death has been recorded when the principles of tumescent anaesthesia have been followed strictly during liposuction. The article is a review of different types of anaesthesia and issues specific to their use in liposuction surgery. It is the end result of an extensive search and compilation of facts from scientific publications (articles and chapters form textbooks) in the dermatologic, plastic surgery, pharmacology and anaesthesia fields.