Infusion Rates and Levels of Premedication in Tumescent Liposuction

Abstract

Infusion rates for tumescent anesthesia can be increased of greater amounts of premedication are given. However, this must be balanced against the safety of the premedication.

Does the Location of the Surgery or the Specialty of the Physician Affect Malpractice Claims in Liposuction?

“…In many cases, the procedures can be performed under local anesthesia alone, without any sedation. 8 The maximum dose of lidocaine that can safely be employed (50–60 mg/kg) automatically limits the size of the liposuction case. The safety profile of this form of liposuction has been demonstrated over and over in a series of studies.…”

Tumescent Liposuction Report Performance Measurement Initiative: National Survey Results

“…Further, blood loss cannot be calculated from blood in the aspirate, 24 and the concentration of epinephrine affects lidocaine absorption. 25 Other issues of controversy associated with liposuction include infusion rates and use of premedication, 26 the efficacy of external ultrasound-assisted liposuction, internal ultrasonic-assisted liposuction or external ultrasound after liposuction, [27][28][29][30] and use of postoperative garments/length of postoperative compression. 31,32…”

Lidocaine Levels During the First Two Hours of Infiltration of Dilute Anesthetic Solution for Tumescent Liposuction: Rapid Versus Slow Delivery

“…Some studies examine levels after infiltration is complete 8 or measure the first level 3–4 hours after infiltration. 1,9 Rapid delivery of tumescent solution generally requires more sedation to relieve discomfort, 5 therefore patients may be less able to report early subjective signs of toxicity.…”

“…Other studies have underscored the importance of the infiltration period. Hanke et al's 5 study showed that dermatologic surgeons are using infiltration pumps that now allow increasingly rapid rates of infiltration of tumescent anesthesia, providing that adequate preoperative medication is given to reduce the pain of infiltration. In addition, intravascular injection of lidocaine during infiltration of a tumescent solution of lidocaine has been reported during phlebectomy when infusion was performed with a nonaspirating injection syringe.…”