Hanke C W, Coleman W P, Lillis P J, Narins R S, Buening J A, Rosemark J, Guillotte R, Lusk K, Jacobs R, Coleman W P
Department of Dermatology, Indiana University School of Medicine, Indianapolis, USA.
Dermatol Surg. 1997 Dec;23(12):1131-4. doi: 10.1111/j.1524-4725.1997.tb00462.x.
Tumescent liposuction has proven to be an extremely safe and effective method of liposuction. However, the infusion of tumescent anesthesia can take 1 hour or more to complete.
To document the types, dosages, and routes of administration of premedication utilized by four experienced tumescent liposuction surgeons. To determine if infusion rates for tumescent anesthesia are affected by types of premedication.
Four experienced liposuction surgeons were asked to review their most recent 100 tumescent liposuction patients with respect to types and dosages of premedication and routes of administration. Data were also provided on corresponding infusion pump settings and infusion rates. Volumes of tumescent anesthesia and corresponding volumes of fat aspirated were also collected on the same 400 patients.
Infusion of tumescent anesthesia could be performed more rapidly in patients who were given greater amounts of premedication. Volumes of tumescent anesthesia infused were generally two or more times the volume of fat aspirated. Patients could be infused with less premedication if slow infiltration was employed.
Infusion rates for tumescent anesthesia can be increased of greater amounts of premedication are given. However, this must be balanced against the safety of the premedication.
肿胀吸脂术已被证明是一种极其安全有效的吸脂方法。然而，肿胀麻醉的输注可能需要1小时或更长时间才能完成。
记录四位经验丰富的肿胀吸脂外科医生使用的术前用药的类型、剂量和给药途径。确定肿胀麻醉的输注速率是否受术前用药类型的影响。
要求四位经验丰富的吸脂外科医生回顾他们最近的100例肿胀吸脂患者的术前用药类型、剂量和给药途径。还提供了相应输液泵设置和输注速率的数据。在同一400例患者中还收集了肿胀麻醉的体积和相应吸出的脂肪体积。
给予较多术前用药的患者，肿胀麻醉的输注可以更快地进行。输注的肿胀麻醉体积通常是吸出脂肪体积的两倍或更多倍。如果采用缓慢浸润，患者可以使用较少的术前用药。
给予更多的术前用药可以提高肿胀麻醉的输注速率。然而，这必须与术前用药的安全性相平衡。
