Why don anesthesiologists provide tumescent local anesthesia for liposuction?
Anesthesiologists have virtually no training in tumescent local anesthesia. Most anesthesiologists have never witnessed tumescent liposuction totally by local anesthesia. Most anesthesiologists are not aware that liposuction by the tumescent technique can consistently be accomplished with the patient experiencing less pain and less discomfort than with the use of systemic anesthesia. Tumescent local anesthesia requires special skills and considerable clinical experience before it can be accomplished in an effective, safe, and efficient manner. Without specific training, no anesthesiologist can achieve adequate local anesthesia to permit liposuction without the help of general anesthesia or intravenous (IV) anesthesia. Although the present situation is improving, most anesthesiologists lack the scientific knowledge about the pharmacology of tumescent local anesthesia. All of the scientific literature of the past 15 years concerning the safety and efficacy of tumescent local anesthesia h
