Local Anesthetics Table
(onset, duration, max dose) both in subcutaneous administration and neuraxial anesthesia
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Brendan Hayes, M.D. commented
There are many good references to safe local anesthetic dosing and max dosing.
As Anesthesiologists we are comfortable dosing local anesthetics.
I don't have a problem with a recommendation table that is accompanied by the usual warnings. -
Heleno Paiva commented
This is on the barash hand book:
Max Doses
Lidocaine 4.5mg/kg (300mg max)
Lidocaine + Epi 7mg/kg (500mg max)
Bupivacaine 2mg/kg (175mg max)
Bupivacaine + Epi 3mg/kg (225mgmax) -
Jessica Miller, MD commented
This would be a tough one, because local anesthetic max doses are controversial, no one really knows what they are, and it depends so much on WHERE you put it. See "Maximum recommended doses of local anesthetics: a multifactorial concept": http://www.ncbi.nlm.nih.gov/pubmed/15635516
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As mentioned in a comment to another suggestion (https://medcalc.uservoice.com/forums/104899-formula-suggestions/suggestions/2438018-maximum-allowable-local-anesthetic-doses), I'm not sure this can be done right without posing patients in danger. If somebody has a good reference demonstrating the safety of such a table, please add it here.
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Christian commented
Not a very good idea! There actually aren't any! It depends too much on the exact spot of injection, the perfusion of this area, the patient's health status, other drugs etc.