Lidocaine - Revision history

Danbot: Switch SMW query from broadtable to table format for better layout with TOC

2026-03-20T21:56:58Z

Switch SMW query from broadtable to table format for better layout with TOC

← Older revision		Revision as of 21:56, 20 March 2026
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	\|?Has Route=Route		\|?Has Route=Route
	\|?Has Population=Population		\|?Has Population=Population
	\|format=~~broadtable~~		\|format=table
	\|headers=plain		\|headers=plain
	\|mainlabel=-		\|mainlabel=-

Danbot: Fix SMW query: replace link=subject with mainlabel=- to fix broken subobject fragment links

2026-03-20T17:24:10Z

Fix SMW query: replace link=subject with mainlabel=- to fix broken subobject fragment links

← Older revision		Revision as of 17:24, 20 March 2026
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	\|format=broadtable		\|format=broadtable
	\|headers=plain		\|headers=plain
	\|~~link~~=~~subject~~		\|mainlabel=-
	\|sort=Has Indication		\|sort=Has Indication
	\|limit=50		\|limit=50

Danbot: Add dynamic SMW Indications by Condition table (auto-populated from disease pages via MedicationDose template)

2026-03-20T16:42:18Z

Add dynamic SMW Indications by Condition table (auto-populated from disease pages via MedicationDose template)

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 *Inject through wound edges whenever possible
 **Avoid injecting through intact skin when possible
 ==See Also==

Urinetrouble at 00:34, 18 October 2024

2024-10-18T00:34:02Z

← Older revision		Revision as of 00:34, 18 October 2024
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	===[[Arrythmia\|Antiarrhythmic]]===		===[[Arrythmia\|Antiarrhythmic]]===
	*Loading dose = 1-1.5mg/kg		*Loading dose = 2% 1-1.5mg/kg
	**Additional boluses of 0.5-0.75mg/kg q5-10min up to max of 3mg/kg		**Additional boluses of 0.5-0.75mg/kg q5-10min up to max of 3mg/kg
	**If effective start infusion of 2mg/min		**If effective start infusion of 2mg/min

Elcatracho: /* Local Anesthetic */

2024-03-01T09:22:40Z

Local Anesthetic

← Older revision		Revision as of 09:22, 1 March 2024
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	==Adult Dosing==		==Adult Dosing==
	===[[Local anesthetics\|Local Anesthetic]]===		===[[Local anesthetics\|Local Anesthetic]]===
	*Maximum without ~~epinepherine~~: 5mg/kg (max 300mg)		*Maximum without epinephrine: 5mg/kg (max 300mg)
	*Maximum with epinepherine: 7mg/kg (max 500mg)		*Maximum with epinepherine: 7mg/kg (max 500mg)

Rossdonaldson1: /* References */

2021-11-17T23:36:26Z

References

← Older revision		Revision as of 23:36, 17 November 2021
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	[[Category:Pharmacology]]		[[Category:Pharmacology]]
	[[Category:Cardiology]]		[[Category:Cardiology]]
	~~[[Category:Toxicology]]~~

Elcatracho: /* Comments */

2020-11-29T20:59:41Z

Comments

← Older revision		Revision as of 20:59, 29 November 2020
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	*Mix lidocaine 1%/epinephrine with sodium bicarbonate 8.4% in 3:1 ratio results in significantly less painful injections. <ref>Vent A et. al Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. J Am Acad Dermatol. 2020 Jul;83(1):159-165. doi: 10.1016/j.jaad.2019.09.088. https://pubmed.ncbi.nlm.nih.gov/31958526/ </ref> <ref>SGEM#307: Buff up the lido for the local anesthetic http://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/</ref>		*Mix lidocaine 1%/epinephrine with sodium bicarbonate 8.4% in 3:1 ratio results in significantly less painful injections. <ref>Vent A et. al Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. J Am Acad Dermatol. 2020 Jul;83(1):159-165. doi: 10.1016/j.jaad.2019.09.088. https://pubmed.ncbi.nlm.nih.gov/31958526/ </ref> <ref>SGEM#307: Buff up the lido for the local anesthetic http://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/</ref>
	**Shorter shelf-life due to decreased stability (use within 2 hours in the Vent A study)		**Shorter shelf-life due to decreased stability (use within 2 hours in the Vent A study)
			*Warming local anesthetics also decreases pain of injection <ref>Hogan, M., vanderVaart, S., Perampaladas, K., Machado, M., Einarson, T. and Taddio, A., 2020. Systematic Review And Meta-Analysis Of The Effect Of Warming Local Anesthetics On Injection Pain.</ref>
	*Inject through wound edges whenever possible		*Inject through wound edges whenever possible
	**Avoid injecting through intact skin when possible		**Avoid injecting through intact skin when possible

Hoxbox: /* Comments */

2020-11-06T21:05:53Z

Comments

← Older revision		Revision as of 21:05, 6 November 2020
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	==Comments==		==Comments==
	*Mix lidocaine 1%/epinephrine with sodium bicarbonate 8.4% in 3:1 ratio results in significantly less painful injections. <ref>Vent A et. al Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. J Am Acad Dermatol. 2020 Jul;83(1):159-165. doi: 10.1016/j.jaad.2019.09.088. https://pubmed.ncbi.nlm.nih.gov/31958526/ </ref> <ref>SGEM#307: Buff up the lido for the local anesthetic http://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/</ref>		*Mix lidocaine 1%/epinephrine with sodium bicarbonate 8.4% in 3:1 ratio results in significantly less painful injections. <ref>Vent A et. al Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. J Am Acad Dermatol. 2020 Jul;83(1):159-165. doi: 10.1016/j.jaad.2019.09.088. https://pubmed.ncbi.nlm.nih.gov/31958526/ </ref> <ref>SGEM#307: Buff up the lido for the local anesthetic http://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/</ref>
	**Shorter shelf-life due to decreased stability (use within 2 hours in the ~~studies~~)		**Shorter shelf-life due to decreased stability (use within 2 hours in the Vent A study)
	*Inject through wound edges whenever possible		*Inject through wound edges whenever possible
	**Avoid injecting through intact skin when possible		**Avoid injecting through intact skin when possible

Hoxbox: /* Comments */

2020-11-06T21:04:55Z

Comments

← Older revision		Revision as of 21:04, 6 November 2020
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	==Comments==		==Comments==
	*~~To decrease pain on injection for local anesthesia~~, ~~may use~~ bicarbonate ~~buffered solution~~ (!:10 ~~cc)~~		*Mix lidocaine 1%/epinephrine with sodium bicarbonate 8.4% in 3:1 ratio results in significantly less painful injections. <ref>Vent A et. al Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. J Am Acad Dermatol. 2020 Jul;83(1):159-165. doi: 10.1016/j.jaad.2019.09.088. https://pubmed.ncbi.nlm.nih.gov/31958526/ </ref> <ref>SGEM#307: Buff up the lido for the local anesthetic http://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/</ref>
	**Shorter shelf-life due to decreased stability		**Shorter shelf-life due to decreased stability (use within 2 hours in the studies)
	*Inject through wound edges whenever possible		*Inject through wound edges whenever possible
	**Avoid injecting through intact skin when possible		**Avoid injecting through intact skin when possible

Hoxbox: /* Local Anesthetic */

2020-11-06T21:04:13Z

Local Anesthetic

← Older revision		Revision as of 21:04, 6 November 2020
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	*Maximum without epinepherine: 5mg/kg (max 300mg)		*Maximum without epinepherine: 5mg/kg (max 300mg)
	*Maximum with epinepherine: 7mg/kg (max 500mg)		*Maximum with epinepherine: 7mg/kg (max 500mg)
	*Mix lidocaine 1%/epinephrine with sodium bicarbonate 8.4% in 3:1 ratio results in significantly less painful injections. <ref>Vent A et. al Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. J Am Acad Dermatol. 2020 Jul;83(1):159-165. doi: 10.1016/j.jaad.2019.09.088. https://pubmed.ncbi.nlm.nih.gov/31958526/ </ref> <ref>SGEM#307: Buff up the lido for the local anesthetic http://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/</ref>

	===[[Arrythmia\|Antiarrhythmic]]===		===[[Arrythmia\|Antiarrhythmic]]===