How do you make a tumescent solution?

Preparation of the tumescent solution is easily accomplished. Our preparation requires a 50 cc vial of 1% lidocaine with added 1: 100,000 mg of epinephrine mixed with 500 cc of Ringer’s lactate.

What is tumescent solution made of?

Tumescent lidocaine solution contains at most 1 g lidocaine and 1 mg epinephrine in 100 mL plus 10 mEq sodium bicarbonate in 10 mL added to 1000 mL of 0.9% physiologic saline for a final lidocaine concentration of 1 g per bag containing 1110 mL or 0.9 g/L (0.09%).

What is tumescent solution used for?

TUMESCENT local anesthesia (TLA) is a technique that provides anesthesia of large areas of skin and subcutaneous tissue by means of the direct infiltration of large volumes of a dilute local anesthetic solution into subcutaneous fat.

What is tumescent fluid?

In tumescent technique, Klein’s fluid contains the following: pethidine. lignocaine and saline. lignocaine, epinephrine, and saline.

What are the ingredients in a tumescent solution?

The important ingredients include lidocaine, epinephrine, and sodium bicarbonate. Traditionally, physicians have only used relatively small dosages of subcutaneous local anesthetics. In fact, very few medical students or surgical residents have ever trained to document or record the exact amount of local anesthetic used.

Which is the best solution for tumescent local anesthesia?

A basic, minimally effective solution of tumescent local anesthesia consists of 500 mg of lidocaine, 0.5 mg of epinephrine, and 10 mEq of sodium bicarbonate in 1 L of NS. It is specifically intended for the surgeon who wants to check the completeness of the anesthesia just before beginning liposuction.

Do You need written orders for tumescent formulations?

The surgeon must provide explicit written orders for the formulation of the tumescent local anesthetic solution. Standard policy should be that no solutions are mixed unless the surgeon has signed the orders and the orders are in the patient’s chart.

How much lidocaine is in a tumescent solution?

The orders for formulating the solution of local anesthesia for the tumescent technique should specify the exact total milligrams of lidocaine and epinephrine, and the milliequivalents of sodium bicarbonate per liter of tumescent solvent (mg/L and mEq/L).