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KMID : 0980120150140020031
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Annals of Phlebology
2015 Volume.14 No. 2 p.31 ~ p.32
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Tumescent Infiltration, How Do I Do It?
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Park Seung-Joon
Yim Su-Bin
Cha Dae-Won
Kim Sung-Chul
Lee Joh-Han
Moon Sang-Ho
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Abstract
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EndoVenous Thermal Ablation (EVTA) has been rapidly replacing high ligation and stripping since the beginning of the 21st century. For safe and effective EVTA, perivenous tumescent infiltration is mandatory. Manual tumescent infiltration is a burden especially in case of ablation of multiple saphenous veins in a single session. However many physicians don’t seem to consider using iv infusion pump for tumescent infiltration which they already have in their hospital. It has several advantages over tumescent infiltration pump designed suitable for liposuction. First, it has air alarm system which can blur the sonography image instantaneously. Second, One can control the infiltration speed very easily and delicately. Too rapid infiltration can cause discomfort and pain. Third, one can use iv administration set instead of using expensive disposable kit for special pump. Most of all, they don’t have to buy another pump for tumescent infiltration alone. I usually set infusion rate at 900ml/hr near-maximal speed. During the learning period, one might have to stop the pump or use basin between each needling if they don’t want to leak tumescent fluid. But once they get used to infiltration they don’t have to stop the pump between each needling. Using iv infusion pump can make EVTA nobler, rapider, easier.
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KEYWORD
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Varicoses vein, Tumescent, Endovenous thermal ablation
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