title: Blood and fluid replacement for lipoplasty procedures.
abstract: Lipoplasty procedures have been performed safely since 1977. Evaluation of patients to rule out bleeding disorders, low serum albumin level, anemia, and systemic diseases is mandatory. A well-planned procedure involves estimation of the amount of removal and the percentage of body surface area involved in the "internal burn." This allows a clinical prediction of the amounts and type of fluid resuscitation required. The maintenance of a near normal circulating albumin level is of at least as great importance as maintaining adequate circulating red cell mass. The goal should be normal intravascular volume with a postoperative hematocrit well above 30 per cent and an albumin level above 3 g. Careful preoperative assessment and planning, the use of Hespan, and, especially, autologous blood transfusions allow the safe removal of localized fatty tissue on an outpatient basis.
authors.affiliation: University of Nevada School of Medicine, Las Vegas.
authors.forename: G P
authors.initials: GP
authors.lastname: Hetter
mesh_terms: D000556:Ambulatory Surgical Procedures; D001803:Blood Transfusion; D001830:Body Surface Area; D005440:Fluid Therapy; D006439:Hemodynamics; D006801:Humans; D007430:Intraoperative Care; D015187:Lipectomy; D012709:Serum Albumin / Q000502:physiology
chemical_list: D012709:Serum Albumin