Tumescent anesthesia is a type of local anesthesia used in specific condition particularly where condition like no ventilation no intubation condition as in burns contracture of the neck. Preparation of local Anaesthetic solution: 0.4% of lidocaine is prepared by addition of 1amp of epinephrine 1in 500,000 dilution + 30 ml of 2% lidocaine + 20 ml of sodium bicarbonate +1 amp of Hylase +450 ml of Ringers Lactate solution. Usually, 200 to 700 ml of solution is required for Anaesthesia. Indications: Burn contracture, above 18 years & 10% of total body surface area only can be operated.
The highest dose of lidocaine used is 35mg/ kg body weight along the line of incision local anesthetic is infiltrated and wait for 20 mins. Then surgery is done and it is like hydrostatic easy cutting surgery due to large volume. Toxic effects of lidocaine are not seen because of maximum dilution &…
