Intraoperative Hemodynamics, Liposuction
Conditions
Keywords
Adrenaline, Tumescence Solution
Brief summary
Liposuction is a procedure that has emerged over the last 30 years as a method to remove subcutaneous fat for cosmetic purposes. Numerous liposuction techniques have been developed .Tumescent liposuction involves using large volumes of dilute local anesthetic and epinephrine to facilitate anesthesia and decrease blood loss. Questions remain about the appropriate dose of local anesthetic, the use of general anesthesia in liposuction, and the setting in which the chosen liposuction method is used. Adrenaline is the most commonly used vasoconstrictor, the recommended concentration in the tumescent solution is 0.25-1 mg/L depending on the tissue vascularity. In the more vascular tissues, the concentration is 1 mg/L and is decreased to 0.5 mg/L in the less vascular areas of the body. The dose should not exceed 50μg/kg. If the maximum dose is anticipated to exceed, the procedure should be done in several stages.
Interventions
Tumescence fluid contained Epinephrine concentration of 1:1000000 (one ampoule 1 mg per liter) lidocaine 500 mg and sodium bicarbonate 8.4% 10 ml per liter
Tumescence fluid contained Epinephrine concentration of 1:500000 two ampoule 2 mg/liter with same lidocaine and bicarbonate dose. lidocaine 500 mg and sodium bicarbonate 8.4% 10 ml per liter
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I patients * scheduled for liposuction for abdomen and flanks and body contouring with liposuction
Exclusion criteria
* Bleeding disorders, anemia or hemoglobin level less than 11g/dl * Cardiovascular diseases, * Uncontrolled diabetes mellitus, * Collagen disorders, and * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood pressure | 4 hours | Noninvasive Blood pressure will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | 4 hours | Heart rate will be recorded every 10 minutes and results will be recorded |
Countries
Egypt