Fluid Resuscitation in Liposuction: A Prospective Analysis of Infiltrate-to-Total Aspirate Ratios Lower Than Used for the Superwet Technique

Basile, Antonio Roberto; Fernandes, Flávio Guimarães; Basile, Vinicius Volpe; Basile, F

doi:10.1007/s00266-006-0118-4

Cited by 16 publications

(6 citation statements)

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“…Higher amount of infiltrated tumescent solution ensured sufficient anesthetic effects of local anesthesia in combination with sedation, compared with relatively lower requests of effective pain relief caused by the use of general anesthesia or epidural anesthesia with sedation. [ 8 , 9 ] Fluid overload may exist with relatively large volumes of infused tumescent fluids, so fluid replacement was abandoned in our practice. Additionally, the average total aspirated volume (6,975 mL) was higher than those in the studies of Trott and Rohrich.…”

Section: Discussionmentioning

confidence: 99%

Fluid management in extensive liposuction

2018

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Tumescent anesthesia makes it feasible to perform liposuction in an office setting. There are often patients who desire extensive liposuction on approximately 30% of total body surface area, which means the potential of fluid overload. In this study, the charts of 83 patients undergoing extensive liposuction were retrospectively reviewed. The intra-operative fluid ratio was 1.66 for the extensive liposuction. There were no episodes of pulmonary edema, congestive heart failure exacerbation, or other major complications. The average urine output in the operating room, the recovery room, and while on the floors was 1.35, 2.3, and 1.4 mL/kg/hour respectively. Intravenous (IV) fluid administration during operation was minimized to approximately 300 to 500 mL. The total volume of IV injection was also reduced to less than 1500 mL when the patient was in the recovery room and on the hospital floor. Our fluid management strategy in extensive liposuction reflects minimal risk of volume overload. Foley catheters are not applied and patients could resume oral intake in usual, so they can discharge after 6 hours of recovery room stay in our daily practice.

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Section: Discussionmentioning

confidence: 99%

Fluid management in extensive liposuction

2018

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“…Although these subcutaneous megadoses of 35-50 mg/kg of lidocaine may seem suboptimal, intraoperative deaths have been reported due to heart block in conditions of normal oxygen saturation. In those cases, the autopsy does not find any abnormality, 23 and lidocaine levels may appear normal; however post-mortem stability of lidocaine has not been demonstrated so far. In a census carried out among all the members of the American Society of Plastic Surgeons in 2000, mortality from liposuction was shown to be 1 out of every 5000 procedures.…”

Section: Please Keep Thi S Protocol Attached To the LI Pid Emulsion Bmentioning

confidence: 90%

Liquid handling, lidocaine and epinephrine in liposuction. The properly form

Marin

2015

Colombian Journal of Anesthesiology

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“…Distintas series han demostrado que RIF de 1,8 a 2,1 para volúmenes de aspirado pequeños (< 4 L) y 1,2 a 1,4 para volúmenes grandes (> 5 L) fueron seguros y no causaron sobrecarga de volumen 34,37,38 . Para volúmenes grandes, la reposición se realiza aportando 0,25 ml de solución Ringer lactato endovenosa por cada 1 ml de volumen aspirado sobre los 5 L. Últimas revisiones muestran que en pacientes de riesgo cardiovascular elevado sería óptimo administrar fluidos según volumen sistólico y gasto cardíaco, calculados a partir de la información de la curva de línea arterial, catéter de arteria pulmonar o ecocardiografía transesofágica 39 .…”

Section: Manejo De Fluidosunclassified

Cirugía Plástica Y Sus Complicaciones: ¿en Qué Debemos Fijarnos?

et al. 2014

Rev Chil Cir

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Plastic surgery and its complications: What we should look?Plastic surgeries are becoming more popular, being performed on a varied type of population and often as office-based procedures. Despite being highly elective procedures, they have risks and complications, which should be reported to patients by the health personnel. The most frequently performed procedures are breast augmentation and body liposuction. The most relevant complications associated with plastic surgery are pulmonary embolism and deep vein thrombosis, which is the leading cause of mortality in this type of surgery. Other complications are local anesthetics intoxication secondary to the use of tumescent solution in body liposuction, inadequate management of perioperative intravenous fluids, mild hypothermia and severe pain after surgery caused by poor postoperative analgesia. It is essential to prevent the described complications, which significantly increase morbidity, mortality and hospital stay. The perioperative measures that have demonstrated effectiveness in reducing perioperative risk are thromboprophylaxis, depending on the thrombotic risk categorization of each patient and the use of adequate concentrations of lidocaine and vasoconstrictor in the tumescent solution. Appropriate temperature monitorization and use of conservation measures in patients with exposure of large body surfaces is also an important issue, as is diligence in intraoperative fluid balance and administration of intravenous multimodal analgesia, adjusted to the magnitude of the surgery. In order to achieve this, proper communication between the surgical team, anesthesiologists and nurses is vital, as it permits implementation of specific measures that permit adequate monitorization, prevention of complications and analgesic management described above.

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Fluid Resuscitation in Liposuction: A Prospective Analysis of Infiltrate-to-Total Aspirate Ratios Lower Than Used for the Superwet Technique

Cited by 16 publications

References 20 publications

Fluid management in extensive liposuction

Fluid management in extensive liposuction

Liquid handling, lidocaine and epinephrine in liposuction. The properly form

Cirugía Plástica Y Sus Complicaciones: ¿en Qué Debemos Fijarnos?

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