Patient Safety

Patient Safety At Dermatologic Cosmetic & Plastic Surgery Chicago IL

  • We use tumescent anesthesia, which avoids the risks of general anesthesia.
  • We don’t work on too many areas at once
Quality of care, patient confidentiality, and patient safety are taken very seriously. Our office is committed to the highest quality of attention. We use state of the art electronic medical records. Communication is essential and all surgical patients have direct access to our surgeon. We believe in continuity of care. Therefore, your physician and his assistants will follow you from consultation to the operating room. Surgeries are conducted in a peaceful environment. Patient comfort is the utmost important. Patients are painlessly anesthetized with local anesthesia, therefore avoiding the risks of general anesthesia.
Research on Tumescent Anesthesia:

Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction

A Ostad, N Kageyama, RL Moy – Dermatologic surgery, 1996 – Wiley Online Library
background The safe upper limit of lidocaine dosage in tumescent anesthesia for liposuction
has been reported to be 35 mg/kg. objective This study was undertaken to: 1) evaluate the
safety of tumescent anesthesia in liposuction when lidocaine doses greater than 35 mg/kg

Anesthetic formulation of tumescent solutions

JA Klein – Dermatologic clinics, 1999 – Elsevier
There is no standard or official recipe for the tumescent anesthetic solutions. The actual
concentrations of lidocaine and epinephrine should depend on the areas to be treated and
clinical situation. In this article the word dosage implies the total amount of a drug given

Warm and neutral tumescent anesthetic solutions are essential factors for a less painful injection

CH YANG, HC HSU, SUC SHEN… – Dermatologic …, 2006 – Wiley Online Library
BACKGROUND Tumescent local anesthesia is widely used in dermatologic surgery.
Minimizing pain associated with injections is crucial to successful surgical procedures.
OBJECTIVE This study investigates the pain associated with warm and room

The tumescent technique for liposuction surgery

JA Klein – Am J Cosmet Surg, 1987 –
The tumescent technique of liposuction is a modification of the wet technique. Thistumescence
of fat permits an increased accuracy in liposuction and minimizes postsurgical irregularities or
the solution is infiltrated exactly where it is needed for hemostasis or local anesthesia.

Safety of tumescent liposuction in 15,336 patients

CW Hanke, G Bernstein, S Bullock – Dermatologic surgery, 1995 – Wiley Online Library
To determine the safety of tumescent liposuction in a large group of patients lidocaine absorption
and toxicity, and eliminates the need for general anesthesia or intravenous The vasoconstrictive
effect of the epinephrine-con- taining tumescent anesthetic mixture has three impor

Tumescent technique for local anesthesia improves safety in large-volume liposuction.

JA Klein – Plastic and reconstructive surgery, 1993 –
Abstract The tumescent technique for local anesthesia improves the safety of large-volume
liposuction (>= 1500 ml of fat) by virtually eliminating surgical blood loss and by completely
eliminating the risks of general anesthesia. Results of two prospective studies of large-

Safe extensive tumescent liposuction with segmental infiltration of lower concentration lidocaine under monitoredanesthesia care

G Wang, WG Cao, SL Li, LN Liu… – Annals of plastic …, 2015 –
Abstract Tumescent anesthesia makes it feasible to perform liposuction in an office setting.
There are often patients who desire extensive liposuction on approximately 30% of total
body surface area, which means the lidocaine total dose might be over the dosing

Local Anesthesia: Evidence, Strategies, and Safety

CN Giordano, J Nelson, LL Kohen, R Nijhawan… – Current Dermatology …, 2015 – Springer
In the collective 16 years of analysis be- tween the two states, there were no complication reports
from liposuction performed under tumescent local anesthesia in an For topicalanesthetic
preparations, allergic contact derma- titis (ACD) to lidocaine is an increasing concern

Use of Tumescence for Outpatient Abdominoplasty and Other Concurrent Body Contouring Procedures: A Review of 65 Consecutive Patients

NL Holzman, M Singh, SA Caterson, E Eriksson… – Eplasty, 2015 –
Following induction of general anesthesia and surgical preparation and drape, the markings
were remeasured of the patients could be discharged the same day with the use oftumescence.
Use of the tumescent technique reduces blood loss, bruising, and postoperative pain.

The current state of fat grafting: A review of harvesting, processing, and injection techniques

AL Strong, PS Cederna, JP Rubin… – Plastic and …, 2015 –
Background: Interest in and acceptance of autologous fat grafting for use in contour abnormalities,

Estimated Maximal Safe Dosages of Tumescent Lidocaine.

JA Klein, DR Jeske – Anesthesia and analgesia, 2016 –
for liposuction, the mean total volume of aspirate was 2416 mL (range, 1525–3300 mL), mean
volume of super- natant fat was 1863 mL (range, 1250–2900 mL), and mean volume infranatant
blood-tinged anesthetic solution was 553 Tumescent Lidocaine Anesthesia

Local Anesthesia: Evidence, Strategies, and Safety

CN Giordano, J Nelson, LL Kohen, R Nijhawan… – Current Dermatology …, 2015 – Springer
two states, there were no complication reports from liposuction performed undertumescent local
anesthesia While injectable lidocaine remains the cornerstone for ade- quateanesthesia, topical
agents are growing 150(1):152–9. 7. Walsh A, Walsh S. Local anesthesia and the

Complications in the Cosmetic Dermatology Patient: A Review and Our Experience (Part 2)

M Vanaman, SG Fabi, J Carruthers – Dermatologic Surgery, 2016 –
injectable hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, polymethylmethacrylate,
sclerotherapy, fat transfer, liposuction, cryolipolysis, chemical peels Although generally safe and
easily performed in the office setting, as with any therapeutic intervention, cosmetic
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