SmartLipo Liposuction – No General Anesthesia

Traditional liposuction necessitates the use of general anesthesia as it involves large incisions and sutures. However, with the coming of SmartLipo liposuction, no general anesthesia is required. This is because local anesthesia acts as the substitute for the minimally invasive procedure which, under normal treatment conditions, should be completed in less than an hour with the small incisions healing naturally.

SmartLipo is preferred by many owing to a number of reasons. The device makes use of advanced form of technology, namely laser, to melt obstinate fat for extraction. This is done by making small 1.0mm incisions on the treatment region which allows the probe to be introduced directly onto the fat prone region. Once the fat is melted, it is immediately suctioned out of the body. Patients remain awake during the procedure and feel no pain or discomfort.

Coagulation of blood vessels prevents excessive bleeding. This takes place simultaneously as the skin is tightened to give a smooth and firm contoured look. Patient doesn’t incur any scars; the swelling subsides in a matter of days. Unlike traditional liposuction which involved considerable downtime, SmartLipo allows patients to resume work in two or three days’ time. Best of all, there are no scars and body contouring results are permanent. Apart from recommending the procedure to others, the effectiveness has persuaded patients to get other regions of the body treated as well.

The fear of incurring trauma and side effects has been removed by not using general anesthesia for SmartLipo liposuction. On the contrary, it is the safest procedure available and FDA’s approval justifies it all the more. Countless numbers of patients have undergone the procedure and are very pleased with the results. By the looks of the various advantages offered by SmartLipo, the procedure could very well establish itself as one of the best in cosmetic surgery.

Brain Injury Risks and Costs

One of the most traumatic injuries that one can sustain in an accident is brain injury. Many severe injuries can heal over time so that the patient can continue his or her everyday life, but head injuries are much more likely to have lasting and possibly permanent effects. Head trauma can affect all aspects of life and can even change a person’s way of speaking, personality, disposition, and more. When brain injuries involve the neck or spine, a victim may end up temporary or permanently paralyzed. If you or someone you know is ever in an accident involving a head injury, seek emergency medical attention immediately.

Injury Risks

The head and neck region of the body is one of the most vulnerable to injury. Brain injury may result from a number of different accident situations. Automobile accident victims often experience brain trauma from whiplash or from hitting their head on the steering wheel or window. Bicyclists, motorcyclists, skaters, and users of other modes of transportation also frequently have accidents that involve head injuries. Athletes in contact sports also have a high risk of brain injury. Concussions are relatively common in football, rugby, boxing, wrestling, martial arts, soccer, and more. Visitors to amusement parks may suffer a head injury from particularly rough roller coasters and other types of park rides.

Injury Costs

Treating and recovering from a brain injury is costly. It can permanently change who you are as a person, which can take a heavy emotional toll on the patient and the patient’s family and friends who notice the changes. It can take several years to fully recover from a brain injury, if full recovery is possible, which can keep you from pursuing plans that you had made before the accident. Monetarily, head injury treatment includes costly medical bills for emergency treatment, surgery, anesthesia, physical and emotional therapy, and medications. It can also cost you wages from time taken off of work.

If you or someone you love has suffered from a brain injury, consider contacting a personal injury attorney immediately. Someone may be liable for the accident and you may be entitled to compensation for injuries and damages.

Spot-On Local Anesthesia Technique

One of the most frustrating aspects of dentistry for even the most experienced of practitioners is difficulty attaining local anesthesia with the mandibular teeth. It is commonly known that, according to the study you read, only 80 – 85% of mandibular blocks are successful.

When they are not it:

  1. Creates anxiety in the patient
  2. Frustrates the dentist
  3. Puts undue pressure on the daily schedule of the patient and the dentist due to “having to wait on it”.
  4. Requires the dentist to try to achieve the required level of comfort by the addition of much more medication which is not helpful to the patient. I have actually had patients come to me with stories of the dentist dismissing the patient to reappoint to another day due to the patient not getting “numb”.
  5. Gives additional risks of increased heart rate due to inadvertent arterial infection or paresthesia from mandibular nerve trauma.
  6. Increases the risk of a hematoma.

Advantages of the “spot on technique” are:

  1. Instant anesthesia, therefore you can begin treatment immediately.
  2. Less medication is administered to the patient.
  3. It is more comfortable than the mandibular block. Many times a patient will ask “Did you give me a shot?”
  4. A more profound anesthesia. Many times patients will exclaim that this is the first time they have been truly numb on that side. I commonly hear that a previous dentist had told them that “it is just them, and that they are hard to numb.”
  5. Fewer traumas than intraosseus techniques. I have seen tissue sloughing with this route.

Armamentarium:

  1. An intraligamentary syringe. My choice is the style that is index finger activated vs. the pistol grip. It tends to be easier to control and seems to be easier to get the “clicks” indicating doses administered.
  2. A 30 gauge extra short needle
  3. 4% Articaine with 1:100,000 epinephrine
  4. 4% Prilocaine HCl plain
  5. A standard syringe with a 30 gauge short needle
  6. Possibly most important is a compounded triple topical anesthetic mix of benzocaine, lidocaine and tetracaine.
  7. A carpule warmer

The Technique is as follows: Give five minutes to allow the topical to do its job. Apply to the vestibule as well as the entire buccal gingival margin of the tooth. With the Standard syringe, slowly inject 4% prilocaine plain in the vestibule. This should be practically imperceptible to the patient. Next slide the 30 gauge needle under the free gingival margin. The idea is literally to drip the anesthetic into the area with a slight pressure. Increase this action to moderate pressure going from line angle to line angle of the buccal of the tooth. Be sure to keep aspiration active the entire time as leakage will occur and to avoid the bitter taste. Copious water rinses help here as well.

Next using the intraligamentary syringe with 4% Articaine with 1:100,000 epinephrine slowly engage the bifurcation on the buccal. The feeling you should have is moderate pressure or squeezing that is required to force the solution into the space of the periodontal ligament. You should get a click as each dose is administered. Normally 4 to 5 clicks per site are sufficient. It is very important to get the feel as the technique requires you to get into this specific area. Anatomical differences in the height of the furcation relative to the free gingival margin can require you to adjust the angle to approximately 45 degrees. Picture the needle as sliding into the area. I prefer to repeat the process at the line angles in a similar fashion. Again, if done properly, with lighter pressure to start increasing pressure in the last couple of clicks the patient should have little difficulty noticing any of the traditional feelings of a “shot”. On rare occasion, the tooth may require the same process on the lingual repeating the steps outlined above.

It is a wonderful feeling to be able to achieve patient comfort without their lips and tongue feeling swollen for 3 to 4 hours. We all dislike hearing our patients say “I just hate that numb feeling”. The majority of the time our patients are referring to the after effects of the traditional mandibular block – and it may have been only 90% effective! It is a difficult process to get a referral from one of our patients who had to endure pain of any kind during dental treatment.

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