title: Use of the tumescent technique for scalp surgery, dermabrasion, and soft tissue reconstruction.
abstract: Application of the tumescent anesthetic technique in scalp surgery, dermabrasion, and soft tissue reconstruction is discussed. Vasoconstriction achieved by using tumescent anesthesia reduces bleeding even with dilute (1:320,000) epinephrine. Tumescent anesthesia also offers the advantages of decreased absorption at the site of infiltration, increased anesthetic infiltration, delayed absorption and lower peak blood plasma levels, and a longer lasting anesthetic effect.
authors.affiliation: Department of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana.
authors.forename: W P
authors.initials: WP
authors.lastname: Coleman
authors.forename: J A
authors.initials: JA
authors.lastname: Klein
mesh_terms: D000772:Anesthesia, Local / Q000379:methods*; D003869:Dermabrasion; D062109:Dermatologic Surgical Procedures; D004837:Epinephrine; D006197:Hair / Q000637:transplantation; D006801:Humans; D008012:Lidocaine; D015187:Lipectomy; D012535:Scalp / Q000601:surgery*; D012867:Skin / Q000098:blood supply; D013524:Surgical Flaps; D014661:Vasoconstriction
chemical_list: D008012:Lidocaine; D004837:Epinephrine