Coleman W P, Klein J A
Department of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana.
J Dermatol Surg Oncol. 1992 Feb;18(2):130-5. doi: 10.1111/j.1524-4725.1992.tb02444.x.
Application of the tumescent anesthetic technique in scalp surgery, dermabrasion, and soft tissue reconstruction is discussed. Vasoconstriction achieved by using tumescent anesthesia reduces bleeding even with dilute (1:320,000) epinephrine. Tumescent anesthesia also offers the advantages of decreased absorption at the site of infiltration, increased anesthetic infiltration, delayed absorption and lower peak blood plasma levels, and a longer lasting anesthetic effect.