Document Detail

A new system of infiltration anesthesia and sedation for plastic surgery.
MedLine Citation:
PMID:  6494323     Owner:  NLM     Status:  MEDLINE    
This technique produces patient cooperation during the phase of local anesthetic injection by judicious use of intravenous ketamine. The addition of diazepam and a narcotic drug to low-dose ketamine may account for a low incidence of hallucinations and psychic sensations. The use of a dilute solution of lidocaine and a very low concentration of epinephrine allows large areas to be anesthetized. The ultralow concentration of epinephrine provides effective vasoconstriction. The result is good patient acceptance, a stable blood pressure and heart rate, and a low incidence of complications classically associated with local anesthetic toxicity.
C W Buffington; P K Buehler; D T Glauber; T F Hornbein; E N Hamacher
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  74     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1984 Nov 
Date Detail:
Created Date:  1984-11-27     Completed Date:  1984-11-27     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  671-82     Citation Subset:  AIM; IM    
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MeSH Terms
Anesthesia, Intravenous / methods*
Arrhythmias, Cardiac / etiology
Blood Pressure
Epinephrine / administration & dosage
Lidocaine / administration & dosage
Middle Aged
Nausea / etiology
Preanesthetic Medication / methods*
Psychomotor Agitation / etiology
Respiration Disorders / etiology
Retrospective Studies
Surgery, Plastic*
Grant Support
Reg. No./Substance:
98PI200987/Lidocaine; YKH834O4BH/Epinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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