Beyond The Local Anesthesia

Tumescent technique chronicles. Local anesthesia, liposuction, and beyond.

The reality of tumescent liposuction is just the opposite of what one might expect based on common sense and experience. The dilution of a local anesthetic solution of lidocaine and epinephrine does not weaken its effect, it actually enhances the degree of anesthesia, and vasoconstriction. Although microcannulas remove less fat per unit of time, they actually permit the removal of greater volum...

The Technique of Local Anesthesia

In the preface to this edition the author says, "The surgical as well as all other arts are most effective when presented with the greatest simplicity. This book attempts to eliminate the nonessential." The enthusiasm which this statement arouses is somewhat dampened on finding that the early chapters contain several purely facetious remarks, quotations of such favorite phrases of the author as...

Local anesthesia toxicity review.

Needle-less local anesthesia: clinical evaluation of the effectiveness of the jet anesthesia Injex in local anesthesia in dentistry.

OBJECTIVES To clinically evaluate the jet injection Injex (Rösch AG Medizintechnik) using 2 different anesthetic solutions, and to compare the jet injection and the standard needle injection techniques. METHOD AND MATERIALS Of the 32 patients in the study, 10 received mepivacaine 3% anesthetic solution by means of the jet injection technique, while the remaining 22 patients received lidocaine...

Are Local Anesthetics Needed for Local Anesthesia?

THIS issue of the Journal contains a very exciting clinical report that describes the clinical efficacy of epidural sufentanil and neostigmine in laboring women. The authors examined the analgesic effects of different combinations of the two drugs without local anesthetic during the first stage of oxytocin-augmented labor. They found that a mixture of 10 g of sufentanil with 500 g of neostigmin...