No, actually Klien is credited as the originater of the tumescent techinque. From your guy's own bible:
http://www.ncbi.nlm.nih.gov/pubmed/9393490?dopt=Abstract
You're confusing a term Klein coined ("tumescent technique") with what was actually being done years before - tumescent liposuction. Illouz (and Fournier to a lesser extent) were really the ones who pioneered and popularized tumescing tissue with fluid containing adrenaline and local anesthetic in the 1970's. Klein's twist was to take the tumescent instillation up many times (5-6x+) and load up on the local as compared to what was being done by Illouz. Dr. Klein was an innovative guy, but he merely offered a variation of an existing idea.
No I think you are confusing who did what. Again from the same article from your guys bible:
http://www.ncbi.nlm.nih.gov/pubmed/9393490?dopt=Abstract
"In 1982, Illouz in France began injecting hypotonic saline into his operative sites on the premise that the saline solution would help rupture adipocytes. He called the solution the Wet Technique. Fournier, a colleague, later demonstrated that there was no more disruption with his dry technique(without saline injection) than with Illouz' wet technique.1,2 Their cases were performed under general anesthesia, and blood loss was a problem when aspirating 2000 cc or more of fatty tissue.
After my 1982 visit to Illouz, Dr. William Mathews and I began using a mixture of 0.3% lidocaine with 1:320,000 epinephrine, which was equivalent to 15 to 16 mg/kg of body weight.3 Mathews, an anesthesiologist/ researcher for ASTRA, asked them to evaluate serum blood levels at 10, 20, 30, and 40 minutes.
Their results indicated that the level in the serum of our patients never exceeded 1 µg/ml and that blood loss was considerably reduced. Hetter, in a similar study, confirmed our results.4 The termlipocrit, meaning the ratio of fat to blood remaining when an aliquot is centrifuged in a graduated centrifuge tube, was coined by Grazer and Mathews.5 With the introduction of smaller bullet Mercedes canulas and our mini-wet technique, we reduced blood loss of 15 to 20 percent to 5 percent blood loss. We maintained levels of aspirate at 3000 cc in an outpatient procedure. Cases with greater levels of aspiration were performed in the hospital, using autologous blood. My maximum aspirate using our early formula was 10,000 cc.5
In the late 1980s, Toledo, in Brazil, began to inject up to 3 liters of dilute lidocaine, epinephrine, and buffer solution. Toledo's original formula was 40 ml 1 percent lidocaine (e.g., 400 mg/liter) with 2 ml 1:1000 epinephrine, 1 liter lactated Ringer's solution, and 20 ml sodium bicarbonate. Our modified formula consists of 1 liter of lactated Ringer's solution, 1 ml 1:1000 epinephrine, 40 cc 1 percent lidocaine, and 20 cc 8.4 percent sodium bicarbonate.5,6
In 1993, Klein, a dermatologist, and an internist reported their results using a tumescent solution similar to Toledo's, which we adapted in 1989.7 Klein's safe lidocaine injection of 35 mg/kg of body weight was immediately popular, partly because of the eye-catching termtumescent. It simply means that, before suctioning, the tissues are injected until they are firm. This allows liposuction to be performed without general anesthesia. It is important to remember that Klein injects his formula segmentally into the tissues up to a total dosage of 35 mg/kg of body weight. Segmental injection of the tumescent formula is a critical safeguard. Five to seven liters of fatty tissue can be aspirated without apparent adverse effects and considerable reduction in blood loss.8
Today, the anesthetic solutions typically used with the tumescent technique consist of 0.05 to 0.1 percent lidocaine with 0.5 to 1:1,000,000 epinephrine, which translates into lidocaine 500 to 1000 mg; epinephrine 0.5 to 1 mg; sodium bicarbonate 2.5 to 12.5 mEq, and 0.9 percent NaCl or lactated Ringer's-1000 m/s.
Tumescent liposuction is safe and effective when properly performed. Alteration of the safe parameters upon which studies of this technique are based can place both patient and surgeon in an extremely uncertain position. The risks of compromising patient safety should be the concern of every physician performing suction-assisted lipectomy."
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