๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
ANESTHESIA
ANESTHESIA
Local anesthesia is normally performed in a ring block around the donor and recipient regions, taking advantage of the landmark position of the donor occipital protuberance to block the greater occipital nerve on either side. Typically 1% lidocaine is used combined with 1:100,000 epinephrine followed by longer acting bupivacaine.
An alternative is to utilize nerve blocks in the frontal recipient area, though patients often find this a very painful process in supraorbital/supratrochlear blocks. In the recipient area, the โAbassiโ solution can be used to achieve both tumescence and hemostasis as well as potentially prevent significant postoperative edema (Table 62-4).
Table 62-4. Abassi Tumescent Solution