Abstract
Liposuction: Where are We and Where are We Going?
Highlights
Introduction with no medical problems) or ASA class II
Accurate intake and output monitoring of all fluids utilized in the operative and postoperative periods must be made, communication with the anesthesia care provider on fluid management is critical, fluid management in liposuction surgery must account for maintenance requirements, preexisting deficits and intraoperative losses of aspirated tissue and third space deficits, preexisting fluid deficits should be minimal after an overnight fast, blood loss estimates should be made and confirmed with pre- and postoperative hemoglobin measurements, and calculation of residual fluid volumes after liposuction is helpful in planning postoperative care [17]
A literature review yielded only a few case reports of fat embolism syndrome (FES) after liposuction; this does not underscore its importance as it is a fatal syndrome that is difficult to diagnose
Summary
The first surgical procedure was performed by Dujarrier in 1921. He used a uterine curette to remove fat from the knees of a well-known ballerina, with a disastrous outcome. A patient with a history of sleep apnea is at increased risk of fatal complications during the postoperative period. Patients must have an adequate cardiopulmonary reserve to handle the large volumes of wetting solution that are typical with large volume liposuction. Over-the-counter and prescription diet medications should be discontinued at least 2-3 weeks prior to surgery. Patients who are experiencing rapid or manual syringe suction for fine contouring and autologous fat persistent weight gain should be started on a program of exercise and transfer.
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