Topical anesthetic application, such asEMLA (Eutectic mixture of
local anesthetics:lidocaine 2.5%-prilocaine 2.5%) creamapplied 60 to 120 minutes prior to intralesionalanesthetic injection has been found in multiple studies to attenuate injection pain.17 Similarly,LET solution (lidocaine, epinephrine, tetracaine) application 30 minutes before wound/laceration closure,prior to actual lidocaine infiltration has been found to decrease the pain.18The disadvantage with these techniques is the extra time required for EMLA or LET to show the effect.
Clinicians are urged to embrace the expanded role of Intralipid emulsion rescue therapy not only for
local anesthetic drug toxicities, but also for other lipophilic drug overdoses.
This increases the elimination rate of
local anesthetics resulting in a shorter duration of the axillary block compared to those with normal and mask the effects of tramadol.12
A prospective randomized trial of different supplementary
local anesthetic techniques after failure of inferior alveolar nerve block in patients with irreversible pulpitis in mandibular teeth.
(2011) The effect of
local anesthetic and corticosteroid combinations on chondrocyte viability.
Patients' pain scores during the application of
local anesthetic were recorded.
The most notable finding, however, is that among these adult medical-surgical patients, the majority who had any kind of experience with lidocaine as a
local anesthetic for IV insertions would prefer to have it used in the future.
A wide range of compounds can function as
local anesthetics, making description of the receptor difficult.
Multi-regional
local anesthetic infiltration during laparoscopic cholecystectomy in patients receiving prophylactic multi-modal analgesia: A randomized, double-blinded, placebo-controlled study.
HTX-011 is the first and only long-acting
local anesthetic to demonstrate in Phase 3 studies significantly reduced pain and opioid use compared to bupivacaine solution, the current standard-of-care
local anesthetic for postoperative pain control, through 72 hours.