BupivacaineInjectionPrilocaine0.02Regional anesthesiaDoseMepivacaineInjectableAnestheticsFentanylVasoconstrictionAnesthetic agentDistal extremitiesAnalgesiaInfiltrationAllergicEfficacyLocalOnsetEphedrinePreservativeDurationVersusRapidDosesSympathomimeticConcentrationSalineAdrenalineCommonlyAllergySolutionCardiac ArrestConcentrationsEffectsMinutesGenericPatientsMaximumSprayEffectDrugGaugeAdministrationPainGroup
Bupivacaine9
- Analysis of the fluid from the bag revealed the presence of bupivacaine, epinephrine and lidocaine. (dallasnews.com)
- The maximum dose of bupivacaine is 175 mg (2 mg/kg) in an adult, but this is increased to 225 mg (3 mg/kg) when mixed with epinephrine. (medscape.com)
- 50/50 or 25/75 mixtures of lidocaine and bupivacaine may provide the most optimal anesthetic for certain ankle anesthesia, providing nearly immediate relief from pain from the short-acting component, and providing up to 8 hours of anesthesia from the long-acting medication. (medscape.com)
- Amide local anesthetics available for dental usage include lidocaine, mepivacaine, articaine, prilocaine and bupivacaine. (dentalcare.com)
- The duration of pulpal anesthesia for bupivacaine (240 minutes) is greater than lidocaine (85 minutes) and articaine (90 minutes) and is also greater for soft tissue (340 minutes) compared to lidocaine and articaine (around 180 minutes). (dentalcare.com)
- To remove the orbital superior lacrimal gland, or OSLG, infiltrate the incision sites with a 50 to 50 mixture of 2%Lidocaine and one to 100, 000 Epinephrine with 0.5%Bupivacaine. (jove.com)
- Lidocaine (1% or 2%) and bupivacaine (0.25%) are the 2 most commonly used local anesthetics. (medscape.com)
- Epinephrine prolongs the duration of the anesthetic effects from bupivacaine by causing vasoconstriction of the blood vessels surrounding the nerve axons. (medscape.com)
- Bupivacaine 0.5% with or without epinephrine may be used. (medscape.com)
Injection8
- Local Anesthetic Lidocaine HCl with Epinephrine 1% (1:100,000) injection in 50mL multiple dose glass flip-top vial with red cap. (accutome.com)
- Lidocaine Hydrochloride Injection, USP Preservative free-lidocaine hydrochloride injection solution Spectra Medical Devices, Inc. (nih.gov)
- Lidocaine Hydrochloride Injection, USP is a sterile, nonpyrogenic, aqueous solution that contains a local anesthetic agent and is administered parenterally by injection. (nih.gov)
- Lidocaine Hydrochloride Injection, USP single dose solutions are methylparaben free. (nih.gov)
- The elimination half-life of lidocaine HCl following an intravenous bolus injection is typically 1.5 to 2 hours. (nih.gov)
- Lidocaine Hydrochloride Injection, USP is indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed. (nih.gov)
- After injection of 1 : 100,000 epinephrine with 2% lidocaine, the tooth was carefully extracted. (hindawi.com)
- The time between injection and onset of anesthesia with lidocaine is approximately 60-90 seconds, and the effects of lidocaine typically last 20-30 minutes (up to 2 hours if mixed with epinephrine). (medscape.com)
Prilocaine2
- A combination of lidocaine/prilocaine has been used in radio frequency ablation of varicose veins, and has been suggested as appropriate for cases where a great volume of tumescent anesthesia is required. (wikipedia.org)
- A double-blind randomized intraindividual study of lidocaine versus prilocaine in tumescent anesthesia for liposuction revealed no differences in efficacy or tolerability, except that lidocaine had a slightly more rapid onset of action. (wikipedia.org)
0.021
- It has a swift, rapid-acting formula of 5% Lidocaine, 2% Tetracaine, and 0.02% Epinephrine. (painfulpleasures.com)
Regional anesthesia1
- Because regional anesthesia is administered some distance away from the wound site, and also because epinephrine should be used with great caution in distal extremities, anesthetic medications mixed with vasoconstrictors such as epinephrine are not recommended in ankle anesthesia. (medscape.com)
Dose4
- The maximum dose of lidocaine in adults is 300 mg (3-4 mg/kg in children), when mixed with epinephrine, the maximum dose is 500 mg (7 mg/kg). (medscape.com)
- Maximum recommended dose anesthetic per appointment of Lidocaine. (studystack.com)
- Maximum recommended dose Vasocontrictor per appointment in Lidocaine. (studystack.com)
- The intended anesthesia included 5 micrograms of intrathecal sufentanil and an epidural test dose of 4 ml 1.5% lidocaine with 1:200,000 epinephrine. (ahrq.gov)
Mepivacaine1
- lidocaine contains 36 mg and mepivacaine contains 54 mg. (dentalcare.com)
Injectable1
- Epinephrine may also be used in injectable local anaesthetics such as lidocaine because it constricts blood vessels and therefore prolongs the action of anaesthetics. (empowher.com)
Anesthetics3
- Lidocaine HCl is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide type. (nih.gov)
- We used 0.5% lidocaine with epinephrine as local anesthetics. (sages.org)
- Use of topical anesthetics containing epinephrine may also help reduce bleeding. (merckmanuals.com)
Fentanyl3
- The use of fentanyl added to morphine-lidocaine-epinephrine spinal solution in patients undergoing cesarean section. (umassmed.edu)
- This research has been done to compare the effects of three drugs, epinephrine, fentanyl and sufentanil with lidocaine on spinal anesthesia to find the best drug. (ac.ir)
- In one group (E) 0.2 mg epinephrine and in other group (F) 25 µg fentanyl and in the 3rd group (S) 2.5 µg sufentanil with 100 mg lidocaine 5% were used for spinal anesthesia. (ac.ir)
Vasoconstriction4
- Epinephrine is used as a drug to promote peripheral vascular resistance via alpha-stimulated vasoconstriction in cardiac arrest and other cardiac disrhythmias resulting in diminished or absent cardiac output, such that blood is shunted to the body's core. (the-medical-dictionary.com)
- The subcutaneous infiltration of a large volume of very dilute lidocaine and epinephrine causes the targeted tissue to become swollen and firm, or tumescent, and permits otherwise painful procedures to be performed on patients without subjecting them to the inherent risks of general anesthesia, and with reduced blood loss due to the vasoconstriction induced by epinephrine. (wikipedia.org)
- Epinephrine is typically added to local anesthetic to cause vasoconstriction, prolonging the activity of the anesthetic and limiting bleeding. (medscape.com)
- Epinephrine causes vasoconstriction, which enhances hemostasis and prolongs the anesthetic effect. (msdmanuals.com)
Anesthetic agent3
- With central neural blockade these changes may be attributable to block of autonomic fibers, a direct depressant effect of the local anesthetic agent on various components of the cardiovascular system, and/or the beta-adrenergic receptor stimulating action of epinephrine when present. (nih.gov)
- The most commonly used short-acting subcutaneous anesthetic agent is Lidocaine, which can be given as 1% or 2% mixtures. (medscape.com)
- Amount of anesthetic agent per carpule (mg/cartridge) of Lidocaine. (studystack.com)
Distal extremities1
- Consider avoiding epinephrine in the distal extremities of patients with peripheral vascular disease. (msdmanuals.com)
Analgesia2
- Empi, Inc., has announced FDA approval of a Lidocaine HCl 2% and Epinephrine 1:100,000 solution for use with the company's Action Patch Iontophoresis System for the iontophoretic induction of local analgesia during superficial dermatologic procedures such as venupuncture, shave removals, and punch biopsies. (the-medical-dictionary.com)
- The patient did not experience rapid onset of analgesia as expected and required a 6 ml bolus of 0.2% ropivacaine and 3 ml of 1% lidocaine over 20 minutes to achieve adequate analgesia. (ahrq.gov)
Infiltration1
- When LET and lidocaine infiltration are used together, the sum of the lidocaine doses must not exceed 5 mg/kg. (msdmanuals.com)
Allergic1
- is that the same as epinephrine for allergic reactions? (healthtap.com)
Efficacy2
- We've had several studies questioning the efficacy of epinephrine in cardiac arrest, and the recent publication of the Paramedic-2 trial in the United Kingdom represents the first large-scale, multi-center RCT sufficiently powered to study the question [3-6]. (ems1.com)
- Does the presence and amount of epinephrine in 2% lidocaine affect its anesthetic efficacy in the management of symptomatic maxillary molars with irreversible pulpitis? (bvsalud.org)
Local6
- A clinician reported favorably on the use of ropivacaine for slow-infusion tumescent anesthesia, where ropivacaine provided local anesthesia for about twice as long as lidocaine. (wikipedia.org)
- Lidocaine HCl stabilizes the neuronal membrane by inhibiting the ionic fluxes required for the initiation and conduction of impulses thereby effecting local anesthetic action. (nih.gov)
- For information on calculating appropriate amounts of local anesthetic/epinephrine, please refer to the Calculating Concentrations and Dilutions section below. (medscape.com)
- Plastic surgery around the eyes is usually performed under local anesthesia, using a mixture of lidocaine and epinephrine. (koreamed.org)
- Lidocaine is an amide local anesthetic used in 1-2% concentration. (medscape.com)
- Local anaesthesia will be lidocaine 2% with epinephrine 1/80000. (who.int)
Onset2
- Faster onset and prolonged duration of sciatic nerve block by alkalinization of lidocaine-epinephrine with borate buffer: 237. (bmj.com)
- The time of onset of these long-acting agents is approximately 10-20 minutes, but the anesthetic effects last 4-6 hours alone, and up to 8 hours when mixed with epinephrine. (medscape.com)
Ephedrine3
- Also found in his body was lidocaine and ephedrine. (psychologytoday.com)
- Ephedrine, however, was a real outlier, a pharmacologic congener of epinephrine, our potent flight or fight hormone . (psychologytoday.com)
- Is ephedrine (ephedrine sulfate) the same as epinephrine? (healthtap.com)
Preservative1
- Use a micropippette to apply 25 microliters of preservative-free 1%Lidocaine to the eye, and insert a lid speculum between the eyelids. (jove.com)
Duration1
- Lidocaine is preferred for indications such as laceration repair because of its shorter duration of action. (medscape.com)
Versus4
- The epinephrine arm had 128 patients (3.2 percent) survive to hospital discharge versus 91 (2.3 percent) in the placebo group. (ems1.com)
- At 30 days, 3.2 percent of the epinephrine group was still alive versus 2.4 percent of the placebo group. (ems1.com)
- Significantly more epinephrine patients achieved ROSC (947 or 23 percent) versus placebo patients (319 or 8.0 percent). (ems1.com)
- A higher number of epinephrine patients had poor neurological outcomes, enough so that the percentages of favorable neurological outcomes were not statistically significant when compared to placebo (2.2 percent at discharge and 2.1 percent at 30 days for epinephrine versus 1.9 percent and 1.6 percent for placebo). (ems1.com)
Rapid1
Doses1
- For lidocaine, total doses of 35 mg/kg and 55 mg/kg have been reported as reasonably safe high-end doses, in the context of liposuction. (wikipedia.org)
Sympathomimetic1
- Epinephrine is a catecholamine, a sympathomimetic monoamine derived from the amino acids phenylalanine and tyrosine. (the-medical-dictionary.com)
Concentration2
- The plasma binding of lidocaine HCl is dependent on drug concentration, and the fraction bound decreases with increasing concentration. (nih.gov)
- Lidocaine 1-2% with or without epinephrine (1:100,000 or 1:200,000 concentration) is used. (medscape.com)
Saline1
- epinephrine 1 mg 1:10,000 every 3-5 minutes plus standard ILCOR resuscitation guidelines, and placebo (0.9 percent saline) plus standard ILCOR resuscitation guidelines. (ems1.com)
Adrenaline3
- Epinephrine (INN), also epinephrin (both pronounced ep-i-NEF-rin), or adrenaline (BAN) is a hormone and a neurotransmitter. (the-medical-dictionary.com)
- Adrenaline is also medicinal and is used in a drug formulation under the name epinephrine. (empowher.com)
- Epinephrine (Adrenaline), Nursing Drug Guide. (empowher.com)
Commonly1
- It most commonly comes in topical or injected forms - like lidocaine - and lasts a few hours with minimal side effects. (howstuffworks.com)
Allergy1
- Allergy patients undergoing immunotherapy can get an epinephrine rinse before the allergen extract is administered, thus reducing the immune response to the adminsitered allergen. (the-medical-dictionary.com)
Solution1
Cardiac Arrest1
- Cardiac arrest from anaphylaxis or asthma (presumably more likely to have better outcomes with epinephrine). (ems1.com)
Concentrations2
- Information derived from diverse formulations, concentrations and usages reveals that lidocaine HCl is completely absorbed following parenteral administration, its rate of absorption depending, for example, upon various factors such as the site of administration and the presence or absence of a vasoconstrictor agent. (nih.gov)
- At concentrations of 1 to 4 mcg of free base per mL 60 to 80 percent of lidocaine HCl is protein bound. (nih.gov)
Effects2
- When released into the bloodstream, epinephrine binds to multiple receptors and has numerous effects throughout the body. (the-medical-dictionary.com)
- Factors such as acidosis and the use of CNS stimulants and depressants affect the CNS levels of lidocaine HCl required to produce overt systemic effects. (nih.gov)
Minutes1
- Remove the wire speculum and wait approximately five minutes for the Lidocaine and Epinephrine to take effect. (jove.com)
Generic2
- Generic drug name is Lidocaine HCl / Epinephrine. (accutome.com)
- Octocaine with Epinephrine consists of multiple generic medications. (rxwiki.com)
Patients2
- Or, as I've often pointed out to my students, "Administration of amiodarone to VF patients has been demonstrated to be significantly better than lidocaine or placebo at temporarily resuscitating a corpse long enough to run up a huge bill in the ICU, and then die anyway. (ems1.com)
- The epinephrine arm enrolled 4,015 patients while the placebo arm enrolled 3,999 patients. (ems1.com)
Maximum1
- To calculate the maximum amount of lidocaine 2% with 1:100,000 epinephrine and the number of cartridges that can be safely administered to a 30-pound patient, the clinician would perform the following calculations. (dentalcare.com)
Spray1
- This spray lidocaine is highly effective on open skin. (workhorseirons.com)
Effect2
- Epinephrine has a suppressive effect on the adaptive immune system. (the-medical-dictionary.com)
- Because of its suppressive effect on the adaptive immune system, epinephrine is used to treat anaphylaxis and sepsis. (the-medical-dictionary.com)
Drug2
- Lidocaine HCl is metabolized rapidly by the liver, and metabolites and unchanged drug are excreted by the kidneys. (nih.gov)
- In recent years, we've begun to turn a critical eye toward administration of the one drug we've clung to through all those changes - epinephrine. (ems1.com)
Gauge1
- Then, inject approximately 0.3 milliliters of 1%Lidocaine with one to 100, 000 Epinephrine into the subconjuctival space, using a 26 gauge needle. (jove.com)
Administration1
- Administration of epinephrine before arrival or a trial-trained paramedic. (ems1.com)
Pain1
- Lidocaine is often used a topical anesthetic-sometimes cutting the pain that comes with propofol injections. (psychologytoday.com)
Group1
- However, the higher ROSC and survival numbers in the epinephrine group are tempered by significantly worse neurological outcomes. (ems1.com)