Abstract

BAYTER MARIN, Jorge Enrique. Liquid handling, lidocaine and epinephrine in liposuction. The properly form. Rev. colomb. anestesiol. [online]. 2015, vol.43, n.1, pp.95-100. ISSN 0120-3347.

Keywords: Lipectomy Pulmonary edema Anesthetics, local Toxicity Surgery, plastic Introduction: Fluid mismanagement in liposuction leads to pulmonary edema in a previously healthy individual. Pulmonary edema is considered the third cause of death in plastic surgery after PTE and lidocaine toxicity. The most important risk factor leading to this outcome is inadequate knowledge of fluid management and poor communication between the surgeon and the anaesthetist. Objectives: To review the causes leading up to pulmonary edema in liposuction and the valid options for correct fluid management. Methods: Non-systematic review of the literature in PubMed and Medline. Results and conclusions: Correct fluid management in liposuction is based on a close communication between the surgeon and the anaesthetist in order to keep track of the total amount of subcutaneous fluid infiltration plus fluids delivered intravenously, always bearing in mind that infiltration fluids go to the central circulation.

Keywords : Lipectomy; Pulmonary edema; Anesthetics; local; Toxicity; Surgery; plastic.

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