Method for performing cosmetic surgical procedures using tumescent anesthesia and oral sedation
A method for anesthetizing a patient undergoing a cosmetic surgical procedure comprising: providing an antibiotic medication at least from about 12 hours to about 24 hours prior to the cosmetic surgical procedure; providing a first dosage of oxycodone and a first dosage of promethazine to be taken by the patient prior to arrival at a surgical facility where the cosmetic surgical procedure is to occur; and providing a dosage of lorazepam, a dosage of zolpidem, and a dosage of hydroxyzine just prior to the cosmetic surgical procedure, wherein the zolpidem comprises a dosage of AMBIEN. In one embodiment, the method further comprises: preparing an anesthetizing solution comprising lidocaine, epinephrine, and sodium bicarbonate; and infiltrating the anesthetizing solution in a targeted area of the patient. In another embodiment, the method further comprises: providing one or more reversing agents to the patient after the cosmetic surgical procedure.
1. A method for anesthetizing a patient undergoing a cosmetic surgical procedure comprising:
administering orally an antibiotic medication at least from about 12 hours to about 24 hours prior to the cosmetic surgical procedure;
administering orally a first dosage of oxycodone and a first dosage of promethazine to be taken by the patient prior to arrival at a surgical facility where the cosmetic surgical procedure is to occur; and
administering orally a dosage of lorazepam, a dosage of zolpidem, and a dosage of hydroxyzine prior to the cosmetic surgical procedure.
2. The method of claim 1 , wherein the method is performed without using general anesthesia and without using intravenous (IV) sedation.
3. The method of claim 1 , wherein the first dosage of the oxycodone is from about 10 mg and the first dosage of promethazine is from about 25 mg.
4. The method of claim 1 , wherein the dosage of the lorazepam is from about 2 mg to about 6 mg.
5. The method of claim 1 , wherein the dosage of the zolpidem is from about 20 mg.
6. The method of claim 1 , wherein the dosage of the hydroxyzine is from about 25 mg.
7. The method of claim 1 , further comprising: performing an assessment of a sedation level, an anxiety level, and a threshold level of pain tolerance of the patient to determine whether the patient is ready to undergo the cosmetic surgical procedure.
8. The method of claim 7 , further comprising: if the sedation level, the anxiety level, or the threshold level of pain tolerance is not sufficient for the patient to undergo the cosmetic surgical procedure, providing a second dosage of oxycodone and a second dosage of promethazine to the patient.
9. The method of claim 1 , further comprising: directing the patient to an operating room for the cosmetic surgical procedure.
10. The method of claim 1 , further comprising: performing tumescent local anesthesia during the cosmetic surgical procedure.
11. The method of claim 10 , wherein the performing tumescent local anesthesia further comprises:
preparing an anesthetizing solution comprising lidocaine, epinephrine, and sodium bicarbonate; and
infiltrating the anesthetizing solution in a targeted area of the patient.
12. The method of claim 11 , wherein the anesthetizing solution comprises: solution of from about 50 cc of 2% lidocaine, 10 cc of 8.4% sodium bicarbonate, and 1 cc of epinephrine in 1 liter of normal saline.
13. The method of claim 11 , wherein the anesthetizing solution comprises: solution of from about 75 cc of 2% lidocaine, 10 cc of 8.4% sodium bicarbonate, and 3 cc of epinephrine in 1 liter of normal saline.
14. The method of claim 11 , wherein the lidocaine in the anesthetizing solution infiltrated in the targeted area of the patient is from between about 45-55 milligram per kilogram of the patient's body weight.
15. The method of claim 10 , further comprising: providing one or more reversing agents to the patient after the cosmetic surgical procedure.
16. The method of claim 15 , wherein the one or more reversing agents comprises flumazenil.
17. The method of claim 15 , wherein the one or more reversing agents comprises naloxone.
18. A method for performing liposuction for a patient, comprising:
administering orally a combination of medications for relieving the pain and anxiety of a patient prior to a cosmetic surgical procedure, wherein the combination of the medications comprises:
a first dosage of oxycodone and promethazine,
a dosage of lorazepam,
a dosage of zolpidem, and
a dosage of hydroxyzine;
providing tumescent local anesthesia for the patient; and
performing the cosmetic surgical procedure, wherein the cosmetic surgical procedure further comprises a combination of one or more of water-assisted liposuction, power-assisted liposuction, and ultrasound-assisted liposuction.
19. The method of claim 18 , wherein providing tumescent local anesthesia further comprises:
preparing an anesthetizing solution comprising lidocaine, epinephrine, and sodium bicarbonate; and
injecting the anesthetizing solution in a target area of the patient during the cosmetic surgical procedure.
20. The method of claim 18 , further comprising: providing one or more reversing agents to the patient after performing the cosmetic surgical procedure.