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The most common combination of agents used in tumescent anesthesia is lidocaine (0.05-0.10%) and epinephrine (1 ppm). [3] [4] [5] For lidocaine, total doses of 35 mg/kg [6] and 55 mg/kg [7] have been reported as reasonably safe high-end doses, in the context of liposuction.
Lidocaine is an antiarrhythmic medication of the class Ib type. [8] This means it works by blocking sodium channels thus decreasing the rate of contractions of the heart. [11] [8] When injected near nerves, the nerves cannot conduct signals to or from the brain. [9] Lidocaine was discovered in 1946 and went on sale in 1948. [12]
Ceftriaxone, sold under the brand name Rocephin, is a third-generation cephalosporin antibiotic used for the treatment of a number of bacterial infections. [4] These include middle ear infections, endocarditis, meningitis, pneumonia, bone and joint infections, intra-abdominal infections, skin infections, urinary tract infections, gonorrhea, and pelvic inflammatory disease. [4]
The GI cocktail is a mixture of a viscous anesthetic, an antacid, and an anticholinergic. [1] [2] Common viscous anesthetics use are viscous lidocaine or xylocaine.Common antacids used are magnesium hydroxide, aluminum hydroxide, or simethicone (more commonly known as Mylanta or Maalox). [3]
(mg/kg) Articaine with adrenaline Bartinest Septanest 4 7 Bupivacaine Marcain 0.25 2.5 Lidocaine 1 3 2 Lidocaine with adrenaline Utilycaine Lignospan Special Xylocaine 1 7 2 Mepivacaine Scandonest 2 1.36 (3 mg per pound), less than 400 mg in adults 3 Prilocaine with Felypressin Citanest 0.5 7 1 Prilocaine Plain Citanest Plain 1 6
Cuts like the filet mignon and the New York strip can be tender and may be best served with a brown-butter sauce. Westend61/Getty Images
lidocaine [12] [13] (lignocaine) Xylocaine 1943 (Nils Löfgren and Bengt Lundqvist) 1947 (Torsten Gordh) mepivacaine: Carbocaine, Polocaine 1956 (Ekenstam and Egner) 1957 (Dhuner) meprylcaine: Epirocain metabutoxycaine: nitracaine: Ester- Aminobenzoic orthocaine: oxetacaine (oxethazaine) oxybuprocaine: benoxinate, Novesine Paraethoxycaine [14 ...
Class Ib drugs tend to be more specific for voltage gated Na channels than Ia. Lidocaine in particular is highly frequency dependent, in that it has more activity with increasing heart rates. This is because lidocaine selectively blocks Na channels in their open and inactive states and has little binding capability in the resting state.