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2007, Número 4

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Rev Mex Anest 2007; 30 (4)


Liposucción. Consideraciones anestésicas y perioperatorias

Ramírez-Guerrero JA

Idioma: Español
Referencias bibliográficas: 62
Paginas: 233-241
Archivo PDF: 129.10 Kb.


RESUMEN

La liposucción se ha convertido en uno de los procedimientos cosméticos más frecuentemente practicados a nivel mundial por los cirujanos plásticos. El entendimiento de los cambios fisiológicos que ocurren durante el procedimiento y el avance en las técnicas quirúrgicas y anestésicas ha permitido la aspiración de grandes volúmenes de grasa en una sola intervención. Sin embargo, no es un procedimiento libre de riesgos. Desafortunadamente, éstos han sido minimizados, por lo que muchos casos se manejan en forma ambulatoria, pero existen muchas complicaciones posibles, como la trombosis venosa, la tromboembolia pulmonar, la embolia grasa, la sobrecarga hídrica con edema pulmonar, la perforación de órganos abdominales, la toxicidad por lidocaína y aun la muerte. En este trabajo se revisa la morbimortalidad asociada a este procedimiento y se sugieren las posibles técnicas de anestesia.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3,000 cases. Plast Reconstr Surg 1983;72:591-597.

  2. Fournier PF, Otteni FM. Lipodissection in body sculpting: the dry procedure. Plan Reconstr Surg 1983;72:598-561.

  3. Hetter GP. Blood and fluid replacement for lipoplasty procedures. Clin Plast Surg 1989;16:245-248.

  4. Klein JA. The tumescent technique for liposuction surgery. Am J Cosmetic Surg 1987;4:263-266.

  5. Hanke CW, Coleman WP. Morbidity and mortality related to liposuction. Dermat Clin 1999;17:899-902.

  6. Grazer FM, de Jong RH. Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plas Reconstr Surg 2000;105:436-446.

  7. de Jong RH. Tumescent anesthesia for office-based liposuction. Anesth Analg 2005;100:299-300.

  8. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol 1990;16:248-263.

  9. Ostad A, Kageyama N, Moy RL. Tumescent anesthesia with lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg 1996;22:921-927.

  10. Burk RW, Guzman-Stein G, Vasconez LO. Lidocaine and epinephrine levels in tumescent technique liposuction. Plast Reconstr Surg 1996;97:1379-1384.

  11. Butterwick KJ, Goldman MP, Sriprachya-Anunt S. Lidocaine levels during the first two hours of infiltration of dilute anesthetic solution for tumescent liposuction: rapid versus slow delivery. Dermatol Surg 1999;25:681-685.

  12. Kenkel JM, Lipschitz AH, Sheperd G, et al. Pharmacokinetics and safety of lidocaine and monoethylglycinexylidine in liposuction: a microdialysis study. Plast Reconstr Surg 2004;114:516-524.

  13. Rubin JP, Zhongcong X, Davidson Ch, et al. Rapid absorption of tumescent lidocaine above the clavicles: a prospective clinical study. Plast Reconstr Surg 2005;115:1744-1751.

  14. Nordstrom H, Stange K. Plasma lidocaine levels and risks after liposuction with tumescent anesthesia. Acta Anaesthesiol Scand 2005;49:1487-1490.

  15. Siegel RJ, Vistnes LM, Iverson RE. Effective hemostasis with less epinephrine. An experimental and clinical study. Plast Reconstr Surg 1973;51:129-133.

  16. Rubin JP, Bierman C, Rosow CE, et al. The tumescent technique: the effect of high tissue pressure and dilute epinephrine in absorption of lidocaine. Plas Reconstr Surg 1999;103:990-996.

  17. Burk RW. Large doses of lidocaine, epinephrine and fluids in abdominal liposuction. Oper Techn Plast Surg 1996;3:35-38.

  18. Samdal F, Amland PF, Bugge JF. Blood loss during liposuction using tumescent technique. Aesthetic Plast Surg 1994;18: 157-160.

  19. Samdal F, Amland PF, Bugge JF. Blood loss during suction-assisted lipectomy with large volumes of dilute adrenaline. Scand J Plast Reconstr Surg Hand Surg 1995;29:161-165.

  20. Karmo FR, Milan MF, Silbergleit A. Blood loss in major liposuction procedures: a comparison study using suction-assisted versus ultrasonically assisted lipoplasty. Plas Reconstr Surg 2001;105:241-247.

  21. Burk RW 3rd, Guzman-Stein G, Vasconez LO. Lidocaine and epinephrine levels in tumescent technique liposuction. Plast Recons Surg 1996;97:1379-1384.

  22. Brown SA, Lipschitz AH, Kenkel JM, et al. Pharmacokinetics and safety of epinephrine use in liposuction. Plast Reconstr Surg 2004;114:756-765.

  23. Kenkel JM, Lipschitz AH, Luby M, et al. Hemodynamic physiology and thermoregulation in liposuction. Plast Reconstr Surg 2004;114:503-513.

  24. Ferrari-Regatieri FL, Sánchez-Mosquera M. Liposuction anesthesia techniques. Clin Plastic Surg 2006;33:27-37.

  25. Knize David M, Fishell Royce CRNA. Use of preoperative subcutaneous «wetting solution» and epidural Block anesthesia for liposuction in the office-based surgical Suite. Plast Reconstr Surg 1997;100:1867-1874.

  26. Kaplan HY, Bar-Meir E. Safety of combining abdominoplasty and total abdominal hysterectomy: fifteen cases and review of the literature. Ann Plast Surg 2005;54:390-392.

  27. Hughes CE III. Reduction of lipoplasty risks and mortality: An ASAPS survey. Aesth Surg J 2001;21:120-127.

  28. Matarasso A, Swift RW, Rankin M. Abdominoplasty and abdominal contour surgery: a national plastic surgery survey. Plast Reconstr Surg 2006;117:1797-808.

  29. Stevens WG, Cohen R, Vath SD, Stoker DA, Hirsch EM. Is it safe to combine abdominoplasty with elective breast surgery? A review of 151 consecutive cases. Plast Reconstr Surg 2006;118:207-212.

  30. Hughes CE. Reduction of lipoplasty risks and mortality: An ASAPS survey. Anesth Plast Surg 2001;21:120-127.

  31. Hanke CW, Bernstein G, Bullok S. Safety of tumescent liposuction in 15,336 patients. National Survey Results. Dermatol Surg 1995;21:459-462.

  32. Katz BE, Bruck MC, Felsenfeld L, et al. Power liposuction: a report on complications. Dermatol Surg 2003;29:925-927.

  33. Teimourian B, Rogers WB. A national survey of complications associated with suction lipectomy: a comparative study. Plast Reconstr Surg 1989;84:628-631.

  34. Feisher LA. Risk of anesthesia. In: Miller RD, eds. Anesthesia. Churchill Livingstone, 2005:893-920.

  35. Covino BG. Local anesthetics. In: Postoperative pain management. Ferrante FM, VadeBancouer TR. eds. Churchill Livingstone 1993:211-254.

  36. Scott DB, Jebson PJ, Braid P, et al. Factors affecting plasma levels of lignocaine and prilocaine. Br J Anaesth 1972;44:1040-1049.

  37. Sweeney BP, Bromilow J. Liver enzyme induction and inhibition: implications for anaesthesia. Anaesthesia 2006;61:159-177.

  38. Rao RB, Ely SF, Hoffman RS. Deaths related to liposuction. N Engl J Med 1999;340:1471-1475.

  39. Nancarrow C, Rutten AJ, Runciman WB, Mather LE, Carapetis RJ, McLean CF, Hipkins SF. Myocardial and cerebral drug concentrations and the mechanisms of death after fatal intravenous doses of lidocaine, bupivacaine, and ropivacaine in the sheep. Anesth Analg 1989;69:276-283.

  40. Peat MA, Deyman ME, Crouch DJ, Margot P, Finkle BS. Concentrations of lidocaine and monoethylglycynexylidine (MEGX) in lidocaine associated deaths. J Forensic Sci 1985;30:1048-1057.

  41. Christie JL. Fatal consequences of local anesthesia: report of five cases and a review of the literature. J Forensic Sci 1976;21:671-679.

  42. Manassa EH, Hellmich S, Ronert M, Hofheinz H, Olbrisch RR. Pain management after lipoplasty: a study of 303 cases. Plast Reconstr Surg 2005;115:1715-1721.

  43. Bernards CM, Kopacz DJ. Effect of epinephrine on lidocaine clearance in vivo: a microdialysis study in humans. Anesthesiology 1999;91:962-968.

  44. Smith KA, Levine RH. Influence of suction-assisted lipectomy on coagulation. Aesthetic Plast Surg 1992;16:299-302.

  45. Samdal F, Aasen A, Mollnes T, et al. Effect of syringe-assisted liposuction on activation of cascade systems and circulating cells when using the superwet or tumescent technique. Ann Plastic Surg 1995;35:242-248.

  46. Ross MJ, Johnson GW. Fat embolism after liposuction. Chest 1988;93:1294-1295.

  47. Laub DR Jr, Laub DR. Fat embolism after liposuction: a case report and a review of the literature. Ann Plast Surg 1990;25: 48-52.

  48. Fourme T, Vieillard-Baron A, Loubieres Y, et al. Early fat embolism after liposuction. Anesthesiology 1998;89:782-784.

  49. Platt MS, Kohler LJ, Ruiz R, Cohle SD, Ravichandran P. Deaths associated with liposuction: case reports and review of the literature. J Forensic Sci 2002;47:205-207.

  50. Ten Duis HJ. Fat embolism syndrome. Injury 1997;28:77-85.

  51. Mellor A, Soni N. Fat embolism. Anaesthesia 2001;56:145-154.

  52. Kenkel JM, Browmn S, Love EJ, et al. Hemodynamics, electrolytes and organ histology of larger-volume liposuction in a porcine model. Plast Reconstr Surg 2004;113:1391-1399.

  53. Finley RK, Shaffer JM. Parenteral fluid administration beneath the fascia lata. Am J Surg 1944;63:337.

  54. Pitman GH, Aker JS, Tripp ZD. Tumescent liposuction. Clin Plast Surg 1996;23:633-641.

  55. Trott SA, Beran SJ, Rohrich RJ, et al. Safety consideration and fluid resuscitation in liposuction: an analysis of 53 consecutive patients. Plast Reconstr Surg 1998;102:2220-2229.

  56. Gilliland MD, Coates N. Tumescent liposuction complicated by pulmonary edema. Plast Reconstr Surg 1997;99:215-219.

  57. Commons GW, Halperin B, Chang CC. Large-volume liposuction: a review of 631 consecutive cases over 12 years. Plast Reconstr Surg 2001;108:1753-1763.

  58. Barillo DJ, Cancio LC, Kim SH, et al. Fatal and near-fatal complications of liposuction. South Med J 1998;91:487-492.

  59. Talmor M, Hoffman LA, Lieberman M. Intestinal perforation after suction lipoplasty: a case report and a review of the literature. Ann Plast Surg 1997;38:169-172.

  60. Kaplan B, Moy RL. Comparison of room temperature and warmed local anesthetic solution for tumescent anesthesia. A randomized double-blind study. Dermatol Surg 1996;22:707-709.

  61. Perry AW, Petti C, Rankin M. Lidocaine is not necessary in liposuction. Plast Reconstr Surg 1999;104:900-1902.

  62. Toledo LS, Mauad R. Complications of body sculpture: prevention and treatment. Clin Plast Surg 2006;33:1-11.




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