9712-1867 Knize
Knize DM, Fishell R.
Use of preoperative subcutaneous "wetting solution" and epidural block
anesthesia for liposuction in the office-based surgical suite.
Plast Reconstr Surg. 1997 Dec;100(7):1867-74. PMID: 9393487
Department of Surgery, University of Colorado Health Sciences Center, Denver,
USA.
Uniform saturation of subcutaneous fat using the "wetting solution" formula
described by Klein for his "tumescent technique" has been shown to decrease
operative blood loss associated with liposuction procedures and to eliminate the
requirement for general anesthesia for selected patients. However, we found this
infusate provided an inadequate level of anesthesia for many of our patients. We
use preoperative infusion of Klein's epinephrine and lidocaine containing
wetting solution in our lipoplasty practice only for control of blood loss and
postoperative pain. Our anesthetic of choice for liposuction is the epidural
block technique, which provides consistent intraoperative comfort for the
patient. We report our experience with 85 consecutive lipoplasty patients who
underwent liposuction under epidural anesthesia after subcutaneous fat perfusion
with Klein's wetting solution. Our epidural block technique uses the rapidly
metabolized local anesthetic agent, chloroprocaine, which has the lowest
systemic toxicity risk of any local anesthetic agent. Chloroprocaine's
anesthetic characteristics are particularly well suited for the outpatient
surgery patient with few undesirable side effects.
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