Tumescent Local Anesthesia
Since the introduction of Tumescent Local Anesthesia by Dermatologist and Pharmacologist J.A. Klein, this method of subcutaneous infiltration of large volumes of diluted anesthetic has been more rapidly adopted by doctors all over the world than any other
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Springer-Verlag Berlin Heidelberg GmbH
c. W Hanke
B. Sommer G. Sattler (Eds.)
Tumescent Local Anesthesia With 133 Figures, 121 in colour and 13 rabIes
,
Springer
Dr. C. W. Hanke, MD Laser & Skin Surgery, Center of Indiana 13450 N Meridian, Suite 355 Carmel, IN 46032, USA Dr. med. B. Sommer Rosenparkklinik GmbH Fachklinik fiir ăsthetisch-operative Dermatologie Heidelberger Landstr. 20 64297 Darmstadt, Germany Dr. G. Sattler Rosenparkklinik GmbH Fachklinik fiir ăsthetisch-operative Dermatologie Heidelberger Landstr. 20 64297 Darmstadt, Germany
ISBN 978-3-642-63063-7 Library of Congress Cataloging-in-Publication Data. Tumeszenz-Lokalanăsthesie. English. Tumescent local anesthesia / [edited by] C. W. Hanke, B. Sommer, G. Sattler. p. ; cm. Includes bibliographical references. ISBN 978-3-642-63063-7 ISBN 978-3-642-56744-5 (eBook) DOI 10.1007/978-3-642-56744-5
1. Tumescent
local anesthesia.I. Hanke, C. W. (C. William), 1944- Il. Sommer B. (Boris) III. Sattler, G. (Gerhard), 1955- [DNLM: 1. Anesthesia, Local--methods.] RD85.T85 T8613 2000 617.9'66--dc21 This work is subject to copyright. AII rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German copyright Law.
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Springer-Veriag Berlin Heidelberg 2001
Originally published by Springer-Verlag Berlin Heidelberg New York in 2001 Softcover reprint of the hardcover Ist edition 2001 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such informat ion by consult ing the relevant literature. Cover degsin: de'blik, Berlin Typesetting: Goldener Schnitt, Sinzheim SPIN: 10735754 Printed on acid-free paper
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Contents
Part A Theory Introduction and Definition B. SOMMER, C.W. HANKE, G. SATTLER 2
2.1 2.2
2·3 3
3·1 }.I.1
3·1.2 3·2 3·3 3-4 3·5 3·6 3·6.1 3.6.2
4
Historical Background D. BERGFELD, C.W. HANKE . . . • . . . . . . . . . . . . . . . . . . . . . Evolution of Tumescent Technique . . Tumescent Anesthesia in the USA Tumescent Anesthesia in Europe . Composition of the Solution for Tumescent Anesthesia B. SOMMER, H. BREUNINGER . . . . . . . . . . . . . . . • . . . . . . . Carrier Solution . Physiologic Saline Solution . Ringer's Solution . Local Anesthetic . Vasoconstrictors . Buffer
