Lidocaine Injections: A Medium of Painless Surgery
Lidocaine Injections are used for:
- Infiltration and nerve block anesthesia typically employed in dental operative setting.
- Epidural and caudal anesthesia blocks the nerve root (injected into epidural space).
- Intravenous anesthesia ("Bier block")
- Surface (topical) anesthesia used by dentists to pre-numb point of injection.
- Spinal anesthesia a denser block (blocks all transmission from below) than epidural (inject into subarachnoid space).
Brand Name(s)
Lidocaine Injection is available under different brand name such as Xylocaine, Xylocaine-MPF, Anestacaine, Xylocaine Dental, Amniocentesis Tray, Lumbar Puncture Tray, Curity Amniocentesis Tray, Paracentesis Tray, Sensi-Touch Lumbar Puncture Tray. There may be other brand names for this medicine.
Dosage and Administration
The lowest possible dose is used. The dose depends on the area to be numbed and how you respond to it.
For Local Anesthesia
Lidocaine is injected into the area that is to be numbed.
In adults: the normal dose should not go beyond 200mg.
In children: the typical dose should not be more than 3mg per kg they weigh.
For an epidural, a ‘test dose’ is to be given 5 minutes earlier than the total dose. For continuous epidural, caudal or paracervical anaesthetic (often used in obstetrics), the highest dose should not be frequent at time under 90 minutes.
So, if the maximal dose for you was 100mg, you should not get 100mg altogether more often than every 90 minutes.
For i.v. regional anesthesia (Bier’s block), you will have a tourniquet applied around the affected limb. This keeps the medicine in the area it is required. The tourniquet should not be released until at least 20 minutes after use.
For Heart Problems
Lidocaine is given by injection into a blood vessel.
The usual dose in adults is 50-100mg given into a vein. This can be repeated after 5 minutes. The maximum dose is 300mg. it can be given through a drip into the blood stream at a rate of 1- 4mg/minute.
The usual dose in children is 0.8-1mg for every kg they weigh, repeated if necessary up to 3-5mg/kg followed by a drip of 10-50 micrograms/kg/minute.
In elder people, the dose may be smaller. Usually, the lidocaine drip is not given for more than 24 hours.
Do talk to your doctor or nurse to learn appropriate dosage for you.
It is important to check this product visually for ingredients or discoloration before using it. If either exists, do not use the liquid. Find out how to store and discard needles and medical supplies safely. Discuss with your pharmacist.
Side effects
Lidocaine injections can rise to many side effects. Inform any side effects if you find after getting a dose of lidocaine to your doctor right away. The most familiar side effects that may occur are nausea, dizziness, pain, confusion, sleepiness and ringing in your ears. Besides these common side effects, you have to be on the pay attention for signs of an allergic reaction. Trouble breathing, a rash or itching come about as signs of an allergic reaction.
Contraindications
Lidocaine Injection is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide-type.