Tumescent liposuction complicated by pulmonary edema

被引:75
作者
Gilliland, MD [1 ]
Coates, N [1 ]
机构
[1] BAYLOR COLL MED, DIV PLAST & RECONSTRUCT SURG, HOUSTON, TX 77030 USA
关键词
ANESTHESIA IMPROVES SAFETY; LARGE-VOLUME LIPOSUCTION; FLUID REPLACEMENT; BLOOD; INFUSIONS;
D O I
10.1097/00006534-199701000-00032
中图分类号
R61 [外科手术学];
学科分类号
摘要
Tumescent Liposuction(1-5) (pressurized,(6,7) superwet(8)) utilizes hypodermoclysis, the delivery of fluids subcutaneously for local anesthesia and hemostasis. Hypodermoclysis is a centuries-old procedure,(9) commonly used even into the 1950s,* for resuscitation and nutrition that has been considered safe and effective for delivering moderate quantities of fluid over brief or extended periods,(10-16) The tumescent technique, however, relies on infusion of greater quantities of fluid in shorter periods, which some authors believe provides many advantages.(5-7,17-20) No cardiopulmonary compromise has been reported in large-volume liposuction patients, despite infusing as much as 15 liters parenterally.(6,7) Despite few reported complications, the potential for fluid overload exists with rapid and high-volume hypodermoclysis.(21) We report a case of pulmonary edema associated with the tumescent technique of liposuction.
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页码:215 / 219
页数:5
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