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What Is The Ideal Dosage Of Injectable Lidocaine As Anesthetic For Wound Care?
Question: looking for dosage of injectable lidocaine as anesthetic for wound care in 300 pound man. Wound in 5 cm. deep and narrow. Looking to use silver nitrate to help widen neck of wound to keep area open for irrigations. I'm an RN, and would like to confirm dosage.
Brief Answer:
Lidocaine injectable is not recommended
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms
Use of injectable local anaesthetic is not recommended in care of wound especially if there is local infection. Simple packing of the wound with gauge piece soaked in antibacterial agent will help keep the area open. Even if insist and want to use Lidocaine for local injection , the maximum dose it is 4.5mg/kg ( 1% Lidocaine solution )of body weight ( kindly use only Plain Lidocaine)> it would be advisable to dilute it 1:1 and use it diluted. volume of 10 ml would suffice
Do get back to me if you need any further assistance
Take Care
Best Regards
Dr Shobha Deepak
Lidocaine injectable is not recommended
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms
Use of injectable local anaesthetic is not recommended in care of wound especially if there is local infection. Simple packing of the wound with gauge piece soaked in antibacterial agent will help keep the area open. Even if insist and want to use Lidocaine for local injection , the maximum dose it is 4.5mg/kg ( 1% Lidocaine solution )of body weight ( kindly use only Plain Lidocaine)> it would be advisable to dilute it 1:1 and use it diluted. volume of 10 ml would suffice
Do get back to me if you need any further assistance
Take Care
Best Regards
Dr Shobha Deepak
Above answer was peer-reviewed by :
Dr. Prasad
Thank you. I agree it shouldn't be used as an irrigation solution. Just wanted to numb the skin before dilating the opening and using the silver nitrate applicator to keep the exterior area open so we can continue with the saline irrigations. The whole is becoming too small resulting in difficulty inserting the iodoform packing strip as ordered by MD. As previously mentioned, the infection has been resolved. No growth in the last culture. Use of lidocaine is for a one time usage only for the procedure.
Sincerely, XXXXXXX
Sincerely, XXXXXXX
Brief Answer:
Lidocaine jelly can be used
Detailed Answer:
Dear Ms
Instead of using the Injectable Lidocaine , Lidocaine jelly or Ointment can be used and applied for 30 minutes prior to doing the application. I would not recommend injecting lidocaine locally around the wound.
Take Care
Regards
Shobha
Lidocaine jelly can be used
Detailed Answer:
Dear Ms
Instead of using the Injectable Lidocaine , Lidocaine jelly or Ointment can be used and applied for 30 minutes prior to doing the application. I would not recommend injecting lidocaine locally around the wound.
Take Care
Regards
Shobha
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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