{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T23:44:31Z","timestamp":1778888671423,"version":"3.51.4"},"reference-count":24,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: The use of wetting solutions (WSs) during high-volume liposuction is standard; however, the optimal amount of WS and its components and their effect on postoperative complications are unclear. We evaluated the effect of a WS and its components, calculated according to ideal body weight (IBW), on postoperative complications. Methods: High-volume liposuction with a WS containing 0.5 g of lidocaine and 0.5 mg of epinephrine in each liter was performed in 192 patients. Patients who received \u226490 mL\/kg of WS were designated as group I and those who received &gt;90 mL\/kg of WS as group II. Postoperative complications and adverse events that occurred until discharge were recorded. Results: The mean total amount of epinephrine in the WS was significantly higher for group II (3.5 mg; range, 3.0\u20134.0 mg) than for group I (2.0 mg; range, 1.8\u20132.5 mg; p &lt; 0.001), as was the mean total amount of lidocaine (3.5 g [range, 3.5\u20134.3 g] vs. 2.0 g [range, 1.8\u20132.5 g], respectively; p &lt; 0.001). No major cardiac or pulmonary complications occurred in either group. Administration of &gt;90 mL\/kg of WS increased the median risk of postoperative nausea 5.3-fold (range, 1.8- to 15.6-fold), that of hypertension 4.9-fold (range, 1.1- to 17.7-fold), and that of hypothermia 4.2-fold (range, 1.1- to 18.5-fold). The two groups had similar postoperative pain scores and blood transfusion rates. Conclusions: The risks of postoperative nausea, vomiting, hypothermia, and hypertension may increase in patients who receive &gt;90 mL\/kg of WS calculated according to IBW during high-volume liposuction.<\/jats:p>","DOI":"10.3390\/jpm14050494","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T06:53:27Z","timestamp":1715064807000},"page":"494","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Relationship between Postoperative Complications and Ratio of Amount of Wetting Solution to Ideal Body Weight in Liposuction Procedures"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4889-6649","authenticated-orcid":false,"given":"Serap","family":"Aktas Yildirim","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lerzan","family":"Dogan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Acibadem Altunizade Hospital, Istanbul 34662, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeynep Tugce","family":"Sarikaya","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bulent","family":"Gucyetmez","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yener","family":"Demirtas","sequence":"additional","affiliation":[{"name":"Private Practice, Atasehir, Istanbul 34746, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fevzi","family":"Toraman","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul 34752, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1093\/asj\/sjy151","article-title":"Optimizing Patient Outcomes and Safety with Liposuction","volume":"39","author":"Mendez","year":"2019","journal-title":"Aesthet. 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