RESUMEN
Limiting liposuction volumes to avoid transfusion is sound surgical practice. Although the plastic surgery literature reports frequent use of transfusions in liposuction surgery, dermatologists almost never use blood replacement after liposuction. Techniques which favor less bleeding include sufficient use of fresh epinephrine, cryoanesthesia, use of smaller cannulas, fluid preloading, proper preoperative evaluation, serial liposuction, intramuscular steroids, and rapid application of pressure garments. A review of the literature and personal experience are detailed.
Asunto(s)
Lipectomía/métodos , Procedimientos Quirúrgicos Ambulatorios , Anestesia , Transfusión de Sangre Autóloga/estadística & datos numéricos , Líquidos Corporales , Dermatología , Epinefrina/uso terapéutico , Femenino , Fluidoterapia/métodos , Hemorragia/complicaciones , Hemorragia/prevención & control , Humanos , MasculinoRESUMEN
More complex methods of outpatient anesthesia, including I.V. sedation and general anesthesia, have become commonplace. Patient selection and preoperative evaluation are discussed, as well as the choice of who will deliver anesthesia. Appropriate outpatient facilities and monitoring are reviewed. The authors' favorite methods of anesthesia, caveats, and suggestions are presented, as well as prevention and treatment of anesthesia problems and emergencies.