9701-215 Gilliland
Gilliland MD, Coates N.
Tumescent liposuction complicated by pulmonary edema.
Plast Reconstr Surg. 1997 Jan;99(1):215-9. PMID: 8982207
Comment in:
Plast Reconstr Surg. 1997 Oct;100(5):1363-4.
Division of Plastic and Reconstructive Surgery, Baylor College of Medicine,
Houston, Texas.
In tumescent liposuction, large volumes of dilute lidocaine and epinephrine are
infused subcutaneously to prepare fat for extraction. Reported cardiopulmonary
complications of tumescent liposuction have been few, and the anesthetic and
hemodynamic advantages are several. We report an instance of pulmonary edema in
a healthy 55-year-old male body-builder who received 7900 cc subcutaneous and
2200 cc intravenous fluid. With normal cardiopulmonary and renal function, the
patient responded promptly to intravenous diuretics without sequelae. Out of
over 900 patients who have had tumescent liposuction with up to 15 liters
infused parenterally, this is the first case of pulmonary edema.
Publication Types:
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