Efficacy of Lidocaine for Pain Control in Subcutaneous Infiltration During Liposuction

Aesthetic Surgery Journal

Volumn 29, Issue 2, 2009, Pages 122-128

  Hatef, Daniel A ^a   Brown, Spencer A ^a   Lipschitz, Avron H ^a   Kenkel, Jeffrey M ^a  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DEETHYLLIDOCAINE; LIDOCAINE; MORPHINE;

ARTICLE; CLINICAL ARTICLE; DOSE RESPONSE; DRUG SAFETY; HUMAN; LIPOSUCTION; PERIOPERATIVE PERIOD; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; VISUAL ANALOG SCALE;

ADULT; ANESTHESIA, LOCAL; ANESTHETICS, LOCAL; DOSE-RESPONSE RELATIONSHIP, DRUG; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; LIDOCAINE; LIPECTOMY; MALE; MIDDLE AGED; MORPHINE; NARCOTICS; PAIN; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; TREATMENT OUTCOME; YOUNG ADULT;

EID: 64349083620     PISSN: 1090820X     EISSN: 1527330X     Source Type: Journal    
DOI: 10.1016/j.asj.2009.01.014     Document Type: Article

References (42)

1. American Society for Aesthetic Plastic Surgery Web site. Cosmetic surgery quick facts: 2005 ASAPS statistics. (Accessed 1/18/2008, at http://www.surgery.org/press/news-release.php?iid=448§ion=news-q uickfacts)
2. Schrudde J. Lipexeresis as a means of eliminating local adiposity. Aesthetic Plast Surg 4 (1980) 215
3. Grazer F.M. Suction-assisted lipectomy, suction lipectomy, lipolysis, and lipexeresis. Plast Reconstr Surg 72 (1983) 620-623
4. Kesselring U.K. Regional fat aspiration for body contouring. Plast Reconstr Surg 72 (1983) 610-619
5. Klein J.A. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol 16 (1990) 248-263
6. Klein J.A. Tumescent technique for local anesthesia improves safety in large volume liposuction. Plast Reconstr Surg 92 (1993) 1085-1098
7. Lillis P.J. Liposuction surgery under local anesthesia: limited blood loss and minimal lidocaine absorption. J Dermatol Surg Oncol 14 (1998) 1145-1148
8. Dolsky R.L. Blood loss during liposuction. Dermatol Clin 8 (1990) 463-468
9. Samdal F., Amland P.F., and Bugge J.F. Blood loss during liposuction using the tumescent technique. Aesthetic Plast Surg 18 (1994) 157-160
10. Tsai R.Y., Lai C.H., and Chan H.L. Evaluation of blood loss during tumescent liposuction in Orientals. Dermatol Surg 24 (1998) 1326-1329
11. Davison R., Parker M., and Atkinson Jr. A.J. Excessive serum lidocaine levels during maintenance infusions: mechanisms and prevention. Am Heart J 104 2 pt 1 (1982) 203-208
12. Nisse P., Lhermitte M., Dherbecourt V., et al. Fatal intoxication after accidental ingestion of viscous 2% lidocaine in a young child [in French]. Acta Clin Belg Suppl 1 (2002) 51-53
13. Kenkel J.M., Lipschitz A.H., Shepherd G., et al. Pharmacokinetics and safety of lidocaine and monoethylglycinexylidide in liposuction: a microdialysis study. Plast Reconstr Surg 114 (2004) 516-524
14. Rohrich R.J., Beran S.J., and Kenkel J.M. Ultrasound-assisted liposuction (1998), Quality Medical Publishing, St. Louis, MO
15. Fodor P.B. Lidocaine toxicity issues in lipoplasty. Aesthetic Surg J 20 (2000) 56-58
16. Fournier P.F., and Otteni F.M. Lipodissection in body sculpturing: the dry procedure. Plast Reconstr Surg 72 (1983) 598-609
17. Illouz Y.G. Body contouring by lipolysis: a 5-year experience with over 3000 cases. Plast Reconstr Surg 72 (1983) 591-597
18. Teimourian B., and Fisher J.B. Suction curettage to remove excess fat for body contouring. Plast Reconstr Surg 68 (1981) 50-58
19. Clayton D.N., Clayton J.N., Lindley T.S., and Clayton J.L. Large-volume lipoplasty. Clin Plast Surg 16 (1989) 305-312
20. Courtiss E.H., Choucair R.J., and Donelan M.B. Large-volume suction lipectomy: an analysis of 108 patients. Plast Reconstr Surg 89 (1992) 1068-1079
21. Fodor P.B. Wetting solutions in aspirative lipoplasty: a plea for safety in liposuction. Aesthetic Plast Surg 19 (1995) 379-380
22. Hetter G.P. The effect of low-dose epinephrine on the hematocrit drop following lipolysis. Aesthetic Plast Surg 8 (1984) 19-21
23. Hetter G.P. The use of low concentration epinephrine. In: Hetter G.P. (Ed). Lipoplasty: the theory and practice of blunt suction lipectomy. 2nd ed. (1990), Little, Brown, Boston 143-145
24. Klein J.A. Anesthesia for liposuction in dermatologic surgery. J Dermatol Surg Oncol 14 (1988) 1124-1132
25. Hatef D.A., Kenkel J.M., Nguyen M.Q., et al. Thromboembolic risk assessment and the efficacy of enoxaparin prophylaxis in excisional body contouring surgery. Plast Reconstr Surg 122 (2008) 269-279
26. Pitman G.H. Tumescent technique for local anesthesia improves safety in large-volume liposuction (discussion). Plast Reconstr Surg 92 (1993) 1099-1100
27. Grazer F.M. Suction-assisted lipectomy: indications, contraindications, and complications. In: Habal M. (Ed). Advances in plastic and reconstructive surgery vol 1 (1984), Year Book Medical Publishers, Chicago
28. Perry A.W., Petti C., and Rankin M. Lidocaine is not necessary in liposuction. Plast Reconstr Surg 104 (1999) 1900-1902
29. Klein J.A. Lidocaine is not necessary in liposuction (discussion). Plast Reconstr Surg 104 (1999) 1903-1906
30. Lofgren N. Studies on local anesthetics: xylocaine, a new synthetic drug (1948), Hoeggstroms, Stockholm
31. Local anesthetics. In: Brunton L.L. (Ed). Goodman's & Gilman's. The pharmacological basis of therapeutics. 11th ed. (2006), McGraw-Hill, New York
32. Groban L., Deal D.D., Vernon J.C., James R.L., and Butterworth J. Cardiac resuscitation after incremental overdosage with lidocaine, bupivacaine, levobupivacaine, and ropivacaine in anesthetized dogs. Anesth Analg 92 (2001) 37-43
33. Reiz S., and Nath S. Cardiotoxicity of local anaesthetic agents. Br J Anaesth 58 (1986) 736-746
34. Moller R., and Covino B.G. Cardiac electrophysiologic properties of bupivacaine and lidocaine compared with those of ropivacaine, a new amide local anesthetic. Anesthesiology 72 (1990) 322-329
35. Lidocaine hydrochloride in dextrose [package insert] (2007), Baxter U.S., Deerfield, IL
36. Gumucio C.A., Bennie J.B., Fernando B., Young V.L., Roa N., and Kraemer B.A. Plasma lidocaine levels during augmentation mammaplasty and suction-assisted lipectomy. Plast Reconstr Surg 84 (1989) 624-627
37. Burk III R.W., Guzman-Stein G., and Vasconez L.O. Lidocaine and epinephrine levels in tumescent technique liposuction. Plast Reconstr Surg 97 (1996) 1379-1384
38. Ostad A., Kageyama N., and Moy R.L. Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg 22 (1996) 921-927
39. Rao R.B., Ely S.F., and Hoffman R.S. Deaths related to liposuction. N Engl J Med 340 (1999) 1471-1475
40. Pitman G.H., Aker J.S., and Tripp Z.D. Tumescent liposuction. A surgeon's perspective. Clin Plast Surg 23 (1996) 633-641
41. Rohrich R.J., and Mathes S.J. Suction lipectomy. In: Jurkiewicz M.J., Krizek T.J., Mathes S.J., and Ariyan S. (Eds). Plastic surgery: principles and practice (1990), Mosby, St. Louis, MO 1553
42. Rohrich R.J., Beran S.J., and Fodor P.B. The role of subcutaneous infiltration in suction-assisted lipoplasty: a review. Plast Reconstr Surg 99 (1997) 514-519