tumescent anesthesia
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This is a discussion on tumescent anesthesia in Certified Registered Nurse Anesthetist (CRNA), part of Advanced Practice Nursing ... Was wondering if a RN with no certification in anesthesia, can administer tumescent anesthesia for...
by sleepy1010 Feb 10, '11Was 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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Feb 11, '11 by GHGoonetteI 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. - Admin
Feb 11, '11 by NRSKarenRNrisks of local anesthesia - liposuction.com
nj does not have a list of procedures one may perform--refer to:
guidelines for determining scope of nursing practice and making delegation decisions
your best bet is to query bon.
http://www.state.nj.us/oag/ca/nursing/nur_contact.htm -
Feb 11, '11 by foranemanQuote from sleepy1010CRNAs 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.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 - Guide
Feb 11, '11 by wtbcrnaQuote from sleepy1010I 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.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 - Feb 11, '11 by sleepy1010Thank 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...
- Feb 11, '11 by foranemanQuote from sleepy1010As 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.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...subee likes this.
