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Local Infiltration

Local infiltration of 1% lidocaine provides excellent anesthesia for the skin of the perinuem.

The injection is best made just below the skin, raising just a small weal to visualize the extent of the infiltration.

There is no need to infiltrate deep into the perineal tissues as there are very few nerves there. The skin, however, is very sensitive.

Watch your total dose of lidocaine. The maximum safe limit for 1% lidocaine (without risking toxicity) is 50 cc.


 

 

 

Military Obstetrics & Gynecology

This information is provided by The Brookside Associates Medical Education Division.  The Brookside Associates, Ltd. is a private organization, not affiliated with any governmental agency. The opinions presented here are those of the author and do not necessarily represent the opinions of the Brookside Associates or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. All material presented here is unclassified.

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