Abstract
Liposuction is the aesthetic removal of undesirable, localized collections of subcutaneous adipose tissue.1 An individual may be near his or her ideal body weight, yet still have disproportionate, localized adipose deposition. Such a patient is an ideal candidate for tumescent liposuction. This technique of infiltrating large volumes of dilute lidocaine and epinephrine obviated the need for general anesthesia, virtually eliminated the need for blood transfusions, and decreased patient recovery time.2–4 Lidocaine toxicity is the most significant factor that limits the amount of anesthesia used in tumescent liposuction. Using the tumescent technique, lidocaine dosages up to 55 mg/kg can be used with minimal risk of lidocaine toxicity.5
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References
Coldiron B, Coleman WP III, Cox SE, et al. ASDS Guidelines of care for tumesent liposuction. Dermatol Surg. 2006;32:709–387.
Klein JA. Tumescent technique for liposuction surgery. Am J Cosmetic Surg. 1987;4:263.
Lillis PJ. Liposuction surgery under local anesthsia: limited blood loss and minimal lidocaine absorption. J Dermatol Surg Ondol. 1988;14:1145.
Narins RS, Coleman WP. Minimizing pain for liposuction anesthesia. Dermaol Surg. 1997;23(12):1137–387.
Hanke CW, Bernstein G, Bullock S. Safety of tumescent liposuction in 15, 336 patients. Dermatolo Surg. 1995;21:459–387.
Klein JA, Kassarjdian N. Lidocaine toxicity with tumescent liposuction: a case report of probable drug interactions. Dermatol Surg. 1997;23:1169–387.
Hanke W, Cox SE, Kuznets N, Coleman WP III. Tumescent liposuction report performance measurement initiative: national survey results. Dermatol Surg. 2004;30(7):967–387.
Coldiron B, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079–387.
Coleman WP III. Liposuction and anesthesia. J Dermatol Surg Oncol. 1987;13:1295.
Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16:248–387.
Ostad A, Kageyama N, Moy R. Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg. 1996;22:921–387.
deJong RH. Local Anesthetics. St. Louis, MO: Mosby-Year Book Inc., 1994.
Covino BG. Clinical pharmacology of local anesthetic agents. In: Cousins MJ, Bridenbough PO, eds. Neural Blockade. Philadelphia: Lippincott; 1988.
Tucker GT, Boas RA. Pharmacolkinetic aspects of intravenous regional anesthesia. Anesthesiology. 1971;34:538–387.
Grazer FM. Complications of the tumescent formula for liposuction. Plast Reconstr Surg. 1997;11(7):1893–387.
Burk RW, Guzman-Stein G, Vasconez LO. Lidocaine and epinephrine levels in tumescent technique liposuction. Plast Reconstr Surg. 1996;97(7):1379–387.
Sifton DW, ed. Epipen. Physician’s Desk Reference, 54th edn., Napa CA: Dey; 2000:958.
Bouloux P, Perett D, Besser GM. Methodological considerations in the determination of plasma catecholamines by high-performance liquid chromatography with electrochemical detection. Ann Clin Biochem. 1985;22:194.
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Appendices
Appendix A: Medications Which Inhibit Cytochrome P450
Drug | Generic name (Trade name) |
Generic name (Trade name) | Miconazole (Micatin) |
Acebutolol (Sectral) | Midazolam (Versed) |
Acetazolamide | Nadolol (Corzide) |
Alprazolam (Xanax) | Naringenin (grapefruit juice) |
Amiodarone (Cordarone) | Nefazodone (Serzone) |
Anastrazole (Arimidex) | Nelfinavir (Viracept) |
Atenolol (Tenoretic) | Nevirapine (Viramune) |
Cannabinoids | Nicardipine (Cardene) |
Carbamazepine (Tegretol) | Nifedipine (Procardia) |
Cimetidine (Tagamet) | Omeprazole (Prilosec) |
Chloramphenicol | Paroxetine (Paxil) |
Clarithromycin (Biaxin) | Pentoxifylline (Trental) |
Cyclosporin (Neoral) | Pindolol |
Danazol (Danocrine) | Propranolol (Inderal) |
Dexamethasone (Decadron) | Propofol (Diprivan) |
Diltiazem (Cardiazam) | Quinidine (Quinaglute) |
Diazepam (Valium) | Remacemide |
Erythromycin | Ritonavir (Norvir) |
Esmolol (Brevibloc) | Saquinavir (Invirase) |
Fluconazole (Diflucan) | Sertinadole |
Fluoxetine (Prozac) | Sertraline (Zoloft) |
Fluvoxamine (Luvox) | Stiripentol |
Norfluoxetine | Tetracycline (Achromycin, Sumycin) |
Flurazepam | Terfenadine (Seldane) (not available) |
Indinivir (Crixivan) | |
Isoniazid (Rifamate) | Thyroxine |
Itraconazole (Sporanox) | Timolol (Blocadren, Cosopt, Timolide) |
Ketoconazole (Nizoral) | Triazolam (Halcion) |
Labetolol (Normodyne, Trandate) | Troglitazon (Rezulin) |
Methadone | Troleandomycin (Tao) |
Methylprednisolone (Solu-Medrol, Depo-Medrol) | Valproic Acid (Depakote) |
Metroprolol (Toprol-XL) | Verapamil (Calan) |
Metronidazole (Flagyl) | Zafirlukast (Accolate) |
Mibefradil (Posicor) | Zileuton (Zyflo) |
Modified from Shiffman M. Medication potentially causing lidocaine toxicity. Am J Cosmet Surg. 1998:227-229. McEvoy GK, ed. AHFS drug information. Bethesda, MD: 2000. Gelman CR, Rumack BH, Hess AJ, eds. Drugdex R. System. Englewood, CO: Micromedex Inc; 2000.
Appendix B: Medications that May Affect Bleeding
Patient to avoid use of these agents 2 weeks prior to liposuction
Accutane-Alert MD | Ecotrin |
|---|---|
Advil | Empirin |
Alka-Seltzer Tablets | Emperin with Codeine |
Alka-Seltzer Plus Cold Medicine | Emprazil-C Tablets |
Anacin Capsules and Tablets | Equagesic |
Anacin Maximum Strength Capsules/Tabs | Excedrin |
APC Tablets | Fiorinal with Codeine |
APC with Codeine, Tabloyd Brand | Four (4)-Way Cold Tablets |
Arthritis Formula by the makers of | Gemnisyn |
Anacin Tablets | Goody’s Headache Powders |
Ascodeen-30 | Ibuprofen |
Ascriptin | Indocin |
Aspirin | Measurin |
Aspergum | Midol |
Aspirin Suppositories | Momentum Muscular Backpain Formula |
Anarox | Monacet with Codeine |
Bayer Aspirin | Motrin |
Bayer Children’s Chewable Aspirin | Naprosyn |
Bayer Children’s Cold Tablets | Norgesic/Norgesic Forte |
Bayer Timed-Released Aspirin | Norwich Aspirin |
BC Powders | Pabirin Buffered Tablets |
Buff-a Comp Tablets | Panalgesic/Percodan/Percodan Demi tabs |
Buffadyne | Persistin |
Bufferin | Quiet World Analgesic/Sleeping Aid |
Bufferin Feldene | Robaxisal Tablets |
Butalbital | Salsalate |
Cama Inlay Tablets | SK-65 Compound |
Cetased, Improved | St. Joseph’s Aspirin for Children |
Cheracol Capsules | Sine-Aid |
Clinoril | Sine-Off Sinus Medicine/Aspirin Formula |
Congespirin | Stendin |
Cope | Stero-Darvon with Aspirin |
Coricidin D Decongestant Tablets | Sulindac |
Coricidin Medilets Tablets for Children | Supac |
Darvon | Synalgos Capsules |
Darvon with Aspirin | Tolectin |
Darvon-N with Aspirin | Triamcinilin |
Dristan Decongestant Tablets/Capsules | Verin |
Duragesic | Viromed Tablets |
Vitamin E |
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Jacob, C.I. (2010). Body Contouring with Tumescent Liposuction. In: Alam, M., Pongprutthipan, M. (eds) Body Rejuvenation. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1093-6_25
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DOI: https://doi.org/10.1007/978-1-4419-1093-6_25
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