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Local Anesthetics in Liposuction: Considerations for New Practice Advisory Guidelines to Improve Patient Safety

Pace, Meredith M. M.D.; Chatterjee, Abhishek M.D., M.B.A.; Merrill, Douglas G. M.D., M.B.A.; Stotland, Mitchell A. M.D.; Ridgway, Emily B. M.D.

Plastic and Reconstructive Surgery: May 2013 - Volume 131 - Issue 5 - p 820e–826e
doi: 10.1097/PRS.0b013e3182879f9f
Cosmetic: Special Topics

Summary: The Practice Advisory on Liposuction published by the American Society of Plastic Surgeons provides a thorough review of anesthetic techniques and guidelines for surgeons who perform liposuction. However, there is evidence to support several changes to the anesthetic infiltrate guidelines that will improve patient safety. These proposed recommendations will have the most impact on patients undergoing office-based procedures, where dedicated anesthesia providers may not be present, but they should also guide practice in both ambulatory care centers and hospitals. The primary foci of the proposed changes include restrictions on bupivacaine use and creation of lidocaine concentration guidelines.

Lebanon, N.H.

From the Department of Anesthesiology and the Department of Surgery, Division of Plastic Surgery, Dartmouth Hitchcock Medical Center, Dartmouth Geisel School of Medicine.

Received for publication October 16, 2012; accepted November 8, 2012.

Disclosure:The authors have no financial interests in this research project and have no conflicts of interest to disclose.

Department of Anesthesia, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, N.H. 03756 meredith.m.pace@hitchcock.org

©2013American Society of Plastic Surgeons