Lidocaine hydrochloride.. Surface anesthesia of mucous membranes. Anesthesia. Peripheral neuropathy. Dental Anesthesia. Spinal anesthesia. Local anesthesia in the vein



Lidocaine hydrochloride:
Lidocaine is a representative of local anesthesia. There are many medications that can act as alternatives.
Injection (solution for injection), lidocaine hydrochloride 5 mg / ml (0.5%), ampoule 20 ml; 10 mg / ml (1%); ampoule 20 ml; 50 mg / ml (5% , Ampoule 2 ml mixed with glucose 75 mg / ml (7.5%).
Injection (solution for injection) with epinephrine, lidocaine hydrochloride 10 mg / ml (1%) with epinephrine 5 μg per ml (1 in 200000), 20 ml ampoule.
Injection (solution for injection) with epinephrine (for dental use), lidocaine hydrochloride 20 mg / ml (2%) with epinephrine 12.5 μg per ml (1 in 80,000), 2.2 ml dental cartridge.
Gelma or topical solution, lidocaine hydrochloride 20-40 mg / ml (2-4%).
Uses: surface anesthesia of the mucous membranes; aerodynamic anesthesia; peripheral neurodegenerative obstruction; dental anesthesia; spinal anesthesia; intravenous intravenous anesthesia;
Contraindications: adjoining skin infection, inflamed skin; anticoagulant therapy, severe anemia or heart disease; spinal or epidural anesthesia in the patient or impaired blood volume.
Avoid (or use very carefully) solutions containing epinephrine (adrenaline) for ring or limb blockade (risk of ischemic necrosis); pregnancy; breast feeding.
Dosage:
Simple solutions
Local anesthesia and peripheral nerve blockage, using 0.5% solution, ADULT up to 250 mg (up to 50 ml).
Local anesthesia and peripheral nerve blockage, using 1% solution, ADULT up to 250 mg (up to 25 ml).
Surface, pharyngeal and tracheal anesthesia, using 4% solution, adult 40-200 mg (1-5 ml).
Surface anesthesia of the urethra, using 4% solution, for adult 400 mg (10 ml).
Cerebral anesthesia, using 5% solution (with 7.5% glucose), ADULT 50-75 mg (1-5.1 ml).
Solutions containing epinephrine.
Local anesthesia and peripheral nerve blockage, using 0.5% solution with epinephrine, ADULT up to 400 mg (up to 80 ml).
Local anesthesia and peripheral nerve blockage, using 1% solution with epinephrine, ADULT up to 400 mg (up to 4 ml).
Sunni anesthesia, using 2% solution with epinephrine, ADULT 20-100 mg (1-5 ml).
Note: The maximum safe dose of lidocaine for adults and children is 0.5% or 1% lidocaine, 4 mg / kg; 0.5% or 1% lidocaine + epinephrine 5 μg / ml (1 in 200000), 7 mg / kg.
Use the lowest doses in patients with wasting, the elderly, epilepsy or severe illness.
Do not use solutions containing preservatives for spinal, epidural or sacral anesthesia, or intravenous.
Adverse effects: When overdosing or following a vascular injection, dizziness, dizziness, dyspepsia, anxiety, tremors and sometimes convulsions are followed by drowsiness, loss of consciousness and decreased breathing; cardiovascular poisoning includes low blood pressure, heart blockage and cardiac arrest; Allergies and allergic reactions; sometimes complications occur when using epidural anesthesia involving urinary retention, fecal incontinence, headache, back pain or loss of the perineum sensation; very rarely deformity and paralysis occur.