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Lidocaine is an antiarrhythmic medication of the class Ib type. [7] This means it works by blocking sodium channels thus decreasing the rate of contractions of the heart. [10] [7] When injected near nerves, the nerves cannot conduct signals to or from the brain. [8] Lidocaine was discovered in 1946 and went on sale in 1948. [11]
Local anesthetic injections are given in specific areas of the mouth, rather than the whole body. Although several different medications are available, the most commonly used local anesthetic to prevent pain in the area around a tooth is lidocaine (also called xylocaine or lignocaine). Lidocaine's half-life in the body is about 1.5–2 hours. [2]
Guidelines do state that lidocaine, a local anesthetic, may help, but research shows that the majority of clinicians offer no pain management options for IUDs beyond over-the-counter painkillers ...
Many local anesthetics fall into two general chemical classes, amino esters (top) and amino amides (bottom). A local anesthetic (LA) is a medication that causes absence of all sensation (including pain) in a specific body part without loss of consciousness, [1] providing local anesthesia, as opposed to a general anesthetic, which eliminates all sensation in the entire body and causes ...
High flow rates are attainable with an IO infusion, up to 125 milliliters per minute. This high rate of flow is achieved using a pressure bag to administer the infusion directly into the bone. Large volume IO infusions are known to be painful. 1% lidocaine is used to ease the pain associated with large volume IO infusions in conscious people. [3]
Overall, the procedure involves injecting a local anesthetic drug (e.g. lidocaine or bupivicaine) with a 20 gauge spinal needle near the pudendal nerve in order to provide pain relief. [1] [2] Lidocaine is usually preferred for a pudendal block because it has a longer duration than chloroprocaine which usually lasts less than one hour. [5]
[7] Most commonly, hyperosmolar dextrose (a sugar) is the solution used; [23] glycerine, [20] lidocaine (a commonly used local anesthetic), [24] phenol, [20] and sodium morrhuate (a derivative of cod liver oil extract) are other commonly used agents. [7] [9] The injection is administered at joints, ligaments, or tendons where they connect to bone.
Adverse effects depend on the local anesthetic method and site of administration discussed in depth in the local anesthetic sub-article, but overall, adverse effects can be: localized prolonged anesthesia or paresthesia due to infection, hematoma, excessive fluid pressure in a confined cavity, and severing of nerves & support tissue during ...
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