What is a dozen anesthesia?
Plastic Surgeon, Dr. Jeffrey Klein developed the method of supplying local anesthesia in 1987. The tumcent means swelling that describes the tissue response immediately after the injection of local anesthetic. This effect usually retreats with absorption. The advantages of treatment include direct and rapid anesthesia only specific areas of treatment. Doctors use peak anesthesia for cosmetic and non -nosmetical dermatological procedures, which eliminates the need for general anesthesia. Using the tip of a small gauge needle and one injection site, the surgeon fulfills a solution that usually contains lidocaine, epinephrine and bicarbonate sodium dissolved in physiological solution. At first, the tissue swells until the drugs penetrate and spread. The amount of lidocaine injected depends on the size of the area requiring treatment. If an anesthetic tissue is required on a larger area, doctors usually place other needle sticks only in the dermis areas already anesthetic. Once the swelling has receded, the epinephrine further limits the blood vessels and ensuresminimum bleeding during the procedure. Surgeons are often able to complete dermatological procedures without the use of electrocauterization, stitches or terminals due to tissue compression and vasoconstriction. The sodium bicarbonate component minimizes burning or sting, which patients often experience injections, and some studies suggest that the substance also has antimicrobial properties.
Dr. Klein originally used the tumescent anesthesia in front of liposuction procedure, injection of the solution directly into the oily layer under the skin. Some surgeons suggest that dermal layers may provide sufficient adipose tissue anesthesia due to the spread of solution and because the dermal layer contains a larger number of nerve endings. After initial injection, surgeons can ensure deep absorption of tissue by infusion of further solution. Dermatologists often use tumescent anesthesia before dermabrasion, removal of benign or maLeague growth or hair transplantation.
patients may minimize the risk of lidocaine toxicity by ensuring that doctors have a complete history containing all prescription drugs and over -the -counter medicines. Some drugs competitions with lidocaine for enzymes needed for adequate metabolization of the anesthetic agent. Blocking or strengthening the activities of these enzymes can prolong the time in which lidocaine remains in the body, creating toxic effects when the drug passes through blood. Lidocaine and epinephrine affect heart rhythm and speed and may not be suitable for some patients with heart disease. Tumcent anesthesia can also cause pulmonary edema or pulmonary embolism.