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Operational Medicine 2001
Lidocaine (Xylocaine, Octocaine, Nervocaine, Dilocaine)

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Category:

  • Local anesthetic

Description:

  • Local anesthetic

Indications:

  • LOCAL: infiltration anesthesia, nerve block

  • TOP (spray, ointment, solution) : anesthesia of skin and accessible mucous membranes

  • TOP (jelly): anesthesia of urethra, anesthetic lubricant for endotracheal intubation

Contraindications:

  • Hypersensitivity to amide anesthetics, heart block, septicemia, ophthalmic use

  • Spinal anesthesia (preparations containing preservatives)

Precautions:

  • Pregnancy category C

  • Inflammation, sepsis, shock

  • Elderly, children, severe liver disease

Adverse Reactions (Side Effects):

  • CNS: anxiety, disorientation, seizures, shivering, tremors, loss of consciousness

  • CV: bradycardia, cardiac arrest, dysrhythmias, myocardial depression

  • EENT: blurred vision, tinnitus

  • RESP: respiratory arrest, status asthmaticus

  • SKIN: allergic reactions, burning, edema, irritation, rash, tissue necrosis, urticaria

Dosage:

Administered topically, injection

  • Adult and Child:

    • LOCAL varies with procedure, degree of anesthesia desired, vascularity of tissue, duration of anesthesia required, and physical condition of patient; max 4.5 mg/kg/dose, do not repeat within 2 hours

    • TOP apply to affected area as needed, max 3 mg/kg/dose, do not repeat within 2 hours

 

 


Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy 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. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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