tumescent solution - EAS

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  1. Tumescent is a dilute solution of lidocaine

    Lidocaine

    Lidocaine is used to temporarily numb and relieve pain from minor burns, skin abrasions, insect bites, and other painful conditions affecting mucous membranes. Some lidocaine products are used to numb the lining of the mouth or throat before certain medical/dental procedures. It is also used to decrease pain while dentures are being fitted and while your gums are adjusting to the dentures. It should n…

    , epinephrine

    Epinephrine

    This medication is used in emergencies to treat very serious allergic reactions to insect stings/bites, foods, drugs, or other substances.

    , and sodium bicarbonate

    Sodium Bicarbonate

    Sodium bicarbonate reduces stomach acid. It is used as an antacid to treat heartburn, indigestion, and upset stomach. Sodium bicarbonate is a very quick-acting antacid.

    that is injected in the subcutaneous

    Subcutaneous injection

    A subcutaneous injection is administered as a bolus into the subcutis, the layer of skin directly below the dermis and epidermis, collectively referred to as the cutis. Subcutaneous injections are highly effective in administering medications such as insulin, morphine, diacetylmorphine and …

    tissue (fat).
    sketchymedicine.com/2016/01/tumescent-solution-for-burn-surgery-and-liposuction/
    sketchymedicine.com/2016/01/tumescent-solution-for-burn-surgery-and-liposuc…
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  2. People also ask
    What is the best solvent for tumescent?
    Use normal saline as preferred tumescent solvent. As discussed later, normal saline (NS), also known as physiologic saline or 0.9% sodium chloride (NaCl), is the preferred solvent for dilute solutions of local anesthetics using the tumescent technique.
    liposuction101.com/liposuction-textbook/chapter-23-tum…
    Why is it called tumescent?
    It’s called “tumescent” because it makes things tumescent, which is a fancy word for swollen. Tumescent is a dilute solution of lidocaine, epinephrine, and sodium bicarbonate that is injected in the subcutaneous tissue (fat).
    sketchymedicine.com/2016/01/tumescent-solution-for-bu…
    What are the ingredients in tumescent solution?
    The surgeon must insist that the staff assiduously maintain complete, legible records that document the total milligram dose and concentration of local anesthetic ingredients in each liter of tumescent solution. The important ingredients include lidocaine, epinephrine, and sodium bicarbonate.
    liposuction101.com/liposuction-textbook/chapter-23-tum…
    What are the orders for formulating local anesthesia for the tumescent technique?
    The orders for formulating the solution of local anesthesia for the tumescent technique should specify the exact total milligrams of lidocaine and epinephrine and the milliequivalents of sodium bicarbonate per liter of tumescent solvent (mg/L and mEq/L).
    liposuction101.com/liposuction-textbook/chapter-23-tum…
  3. https://sketchymedicine.com/2016/01/tumescent...

    Tumescent solution is also called “ Klein’s Solution ” after the physician who characterized the recipe and the use of it. It’s called “ tumescent ” because it …

    • Estimated Reading Time: 2 mins
    • https://liposuction101.com/liposuction-textbook/...

      A basic, minimally effective solution of tumescent local anesthesia consists of 500 mg of lidocaine, 0.5 mg of epinephrine, and 10 mEq of sodium bicarbonate in 1 L of NS. It is specifically intended for the surgeon who wants to check the completeness of the anesthesia just before beginning liposuction.

    • https://pubmed.ncbi.nlm.nih.gov/10526707

      There is no standard or official recipe for the tumescent anesthetic solutions. The actual concentrations of lidocaine and epinephrine should depend on the areas to be treated and clinical situation. This article discusses the safe usage of tumescent solutions and the proper procedures and precautions to take when mixing these solutions. MeSH terms

      • Author: Jeffrey A. Klein
      • Publish Year: 1999
    • https://tumescent.org/tumescent-technique...

      The tumescent technique permits liposuction of more than 3000 ml of supranatant fat without transfusion. Improved Hemostasis The degree to which infiltration with vasoconstrictive local anesthetic solutions is used in liposuction to maximize hemostasis varies …

      • Estimated Reading Time: 9 mins
      • https://www.sciencedirect.com/science/article/pii/S0733863505701248

        Oct 01, 1999 · Normal Saline is the Preferred Tumescent Solvent As discussed below, normal saline (NS), also known as physiologic saline or 0.9% sodium chloride, is the preferred solvent for dilute solutions of local anesthetics intended for delivery by the tumescent technique.

        • Author: Jeffrey A. Klein
        • Publish Year: 1999
      • https://www.derm.theclinics.com/article/S0733-8635(05)70124-8/abstract

        Oct 01, 1999 · Normal Saline is the Preferred Tumescent Solvent As discussed below, normal saline (NS), also known as physiologic saline or 0.9% sodium chloride, is the preferred solvent for dilute solutions of local anesthetics intended for delivery by the tumescent technique.

      • https://liposuction101.com/liposuction-textbook/...

        The term tumescent describes tissue that is swollen and firm. Infiltration with the tumescent technique implies that such a large volume of dilute local anesthetic solution is infiltrated that the targeted tissues become swollen and firm.

      • tumescent.org/wp-content/uploads/The-Tumescent-Technique-Anesthesia.pdf

        The tumescent technique for local anesthesia permits regional local anesthesia of the skin and subcutaneous tissues by using direct infiltration rather than a proximal nerve block. By using large volumes of a dilute anesthetic solution consisting of lidocaine (0.1% or 0.05%) and firmness, or tumescence, of targeted fatty areas.

      • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830750

        Apr 22, 2016 · Tumescent lidocaine solution contains at most 1 g lidocaine and 1 mg epinephrine in 100 mL plus 10 mEq sodium bicarbonate in 10 mL added to 1000 mL of 0.9% physiologic saline for a final lidocaine concentration of 1 g per bag containing 1110 mL or 0.9 g/L (0.09%).

      • www.surgicalcosmetic.org.br/details/22/en-US/rule...

        The tumescent solution for local anesthesia in liposuction procedures was developed by Klein in 1975.



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