tumescent anesthesia

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    Was wondering if a RN with no certification in anesthesia, can administer tumescent anesthesia for lipo if trained by the physician. I am unsure if this is within the scope of practice of a RN in NJ and unable to find any info on the BON website. Any info is appreciated
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    I admit, I had never heard of this technique until I read your question. It's been a long time since we had a plastic surgeon at our hospital lol.

    After looking it up, I would have said that the dosages involved might make the procedure a bit risky, although on the whole, the text articles deny this. Like you, I saw nothing regarding the qualifications required to perform it.

    FORTUNATELY I remembered a thread regarding sedation which ran some time ago, and I looked it up. Here's a link which might answer your question:

    http://www.aana.com/Resources.aspx?id=24804

    The article contains a section dealing specifically with RNs administering sedation and analgesia.
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    Quote from sleepy1010
    Was wondering if a RN with no certification in anesthesia, can administer tumescent anesthesia for lipo if trained by the physician. I am unsure if this is within the scope of practice of a RN in NJ and unable to find any info on the BON website. Any info is appreciated
    CRNAs and Anesthesiologists do not administer tumescent anesthesia generally. It essentially is local anesthesia but in a diluted volumes and usually over a wise ares of tissue. The large volume and potential for vascular injection makes local anesthesia toxicity a concern. Of equal concern is perforation of structures with the bowel being the most common. WHY an RN would want to administer it i don't know, but this is probably a question the board of nursing has not specifically considered, since it likely has never been asked (not many surgeons would want a third party to do this for them), and you may have to contact them for a formal opinion.
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    Quote from sleepy1010
    Was wondering if a RN with no certification in anesthesia, can administer tumescent anesthesia for lipo if trained by the physician. I am unsure if this is within the scope of practice of a RN in NJ and unable to find any info on the BON website. Any info is appreciated
    I am wondering if the RN position entails just providing moderate/IV sedation for tumescent anesthesia. That would be more in line with normal RN duties.
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    Thank you all very much for your responses...i think my best bet wil be to email the board.... to foraneman and wbtcrna...i beleive that I would be required to actually mix the lido and epi, and inject it into the pt before laser liposuction...
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    Quote from sleepy1010
    Thank you all very much for your responses...i think my best bet wil be to email the board.... to foraneman and wbtcrna...i beleive that I would be required to actually mix the lido and epi, and inject it into the pt before laser liposuction...
    As a CRNA, I would REFUSE TO do it if that gives you some idea how I view the added liability so that the surgeon can be lazy. mixing it is fine...injecting..no way. You WILL eventually perforate a bowel. many surgeons have.
    subee likes this.
  11. 0
    This seems to be an old and resolved thread ... anyway this is what i found

    Tumescent Lipo


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