9712-1131 Hanke
Hanke CW, Coleman WP 3rd, Lillis PJ, Narins RS, Buening JA, Rosemark J,
Guillotte R, Lusk K, Jacobs R, Coleman WP 4th.
Infusion rates and levels of premedication in tumescent liposuction. Dermatol Surg. 1997 Dec;23(12):1131-4. PMID: 9426656
Department of Dermatology, Indiana University School of Medicine, Indianapolis,
USA.
BACKGROUND: Tumescent liposuction has proven to be an extremely safe and
effective method of liposuction. However, the infusion of tumescent anesthesia
can take 1 hour or more to complete. OBJECTIVE: To document the types, dosages,
and routes of administration of premedication utilized by four experienced
tumescent liposuction surgeons. To determine if infusion rates for tumescent
anesthesia are affected by types of premedication. METHODS: Four experienced
liposuction surgeons were asked to review their most recent 100 tumescent
liposuction patients with respect to types and dosages of premedication and
routes of administration. Data were also provided on corresponding infusion pump
settings and infusion rates. Volumes of tumescent anesthesia and corresponding
volumes of fat aspirated were also collected on the same 400 patients. RESULTS:
Infusion of tumescent anesthesia could be performed more rapidly in patients who
were given greater amounts of premedication. Volumes of tumescent anesthesia
infused were generally two or more times the volume of fat aspirated. Patients
could be infused with less premedication if slow infiltration was employed.
CONCLUSION: 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.
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