Intraoperative use of bupivacaine for tumescent liposuction: the Robert Wood Johnson experience

Plastic and Reconstructive Surgery
Colin L FaileyHenry C Hsia

Abstract

Bupivacaine anesthetic is commonly used as a wetting solution additive in tumescent liposuction, but its routine use remains controversial because of a lack of evidence in the current literature. In accordance with local institutional review board regulations, a retrospective chart review was conducted of liposuction cases performed from 1997 to 2007 at Robert Wood Johnson University Hospital in New Brunswick, New Jersey. The primary endpoint was adverse perioperative events. Secondary endpoints included length of postanesthesia care unit stay and length of total postoperative hospital stay. Eighty-seven cases were analyzed and two subsets of patients were identified. In group 1, 24 patients were compared who underwent liposuction as the primary procedure and received bupivacaine, lidocaine, or no additive in their wetting solution. No adverse events were encountered and the average length of stay was not significantly different. In group 2, 20 patients were compared who underwent abdominoplasty and liposuction and received bupivacaine or no additive in their wetting solution. No adverse events occurred and patients receiving bupivacaine had a significantly shorter average length of stay, 19 hours versus 36 hours, compared with...Continue Reading

References

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Dec 19, 1998·Plastic and Reconstructive Surgery·J A Klein
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Apr 11, 2008·Plastic and Reconstructive Surgery·Ronald E Iverson, Victoria S Pao

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Citations

Feb 5, 2013·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Patrick H Conroy, James O'Rourke
May 1, 2013·Plastic and Reconstructive Surgery·Meredith M PaceEmily B Ridgway
Nov 28, 2013·Plastic and Reconstructive Surgery·Alan Matarasso, Steven M Levine
Jan 16, 2015·Annals of Plastic Surgery·Angie M PaikHenry C Hsia
Sep 26, 2014·Plastic and Reconstructive Surgery·Karol A Gutowski

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