Anaesthesia Flashcards
Methods of pain control
Cooling
Reassurance/Talkesthesia
Additional devices
Technique
Local Anaesthetic
Local anaesthesia methods
Topical
Local infiltration
Nerve block
Lidocaine addition to filler
Toxic dose of lidocaine
3mg/kg
Signs of lidocaine toxicitty
Agitation
Confusion
Dizziness
Drowsiness
Tinnitus
Perioral numbess
Metallic taste
Slurred speech
cardiovascular compromise
Muscle tremors
Seizures
Respiratory depression
AV heart block
Metabolisation of lidocaine
Primarily the liver
Lidocaine toxicity management
Stop drug
Call for help
Maintain airway
Urgent hospital transfer
Lipid emulsion (20%) therapy
Monitor for seizure, coma and hypotension
How to enhance topical anaestheisa
Degrease/exfoliate skin
Cover cream with non-porous dressing
Energy-dependent devices
Dose of topical lidocaine
4%
What is EMLA
2.5% lidocaine
2.5% prilocaine
Depth of penetration for topical lidocaine
3mm after 60 min
5mm after 120 min
Skin changes seen with topical anaesthetic
Skin blanching
