NERVE BLOCKS OF THE FOOT AND ANKLE

NERVE BLOCKS OF THE FOOT AND ANKLE

 
NERVE BLOCKS OF THE FACE AND MOUTH

NERVE BLOCKS OF THE FACE AND MOUTH

 
Serratus plane block for rib fractures

Serratus plane block for rib fractures

 
NERVE BLOCKS OF THE HAND AND WRIST

NERVE BLOCKS OF THE HAND AND WRIST

 
FASCIA ILIACA COMPARTMENT BLOCK

FASCIA ILIACA COMPARTMENT BLOCK

Stephen Rolfe, PharmD, BCPS Clinical Pharmacy Specialist - Emergency Medicine

Stephen Rolfe, PharmD, BCPS
Clinical Pharmacy Specialist - Emergency Medicine

max dose for local anesthetic.jpg
nomogram for local aneesthetic toxic dose limits.jpg

Reposted with permission from ALIEM.com

https://www.aliem.com/2014/06/pv-card-local-anesthetic-toxicity-calculations/

References:

1.     Altman RS, Smith-Coggins R, Ampel LL. Local Anesthetics. Ann Emerg Med. 1985 Dec. 14(12):1209-17

2.     Bartfield JM, Jandreau SW, Raccio-Robak N. Randomized Trial of Diphenhydramine versus Benzyl Alcohol with Epinephrine as an Alternative to Lidocaine Local Anesthesia. Ann Emerg Med. 1998;32 (6):650–654.

3.     Becker DE, Reed KL. Local Anesthetics: Review of Pharmacological Considerations. Anesth Prog. 2012 Summer. 59(2):90-101

4.     Diphenhydramine Hydrochloride Injection [prescribing information]. Franklin Lakes, NJ: BD Rx; December 2012

5.     Durai R, Ng PC. Practical Application of Using Local Anaesthetics: Surgical Perspectives. Acta Chir Belg. 2013 Jan-Feb. 113(1):64-9

6.     EPA; Health and Environmental Effects Document for Benzyl Alcohol; September 1989.

7.     Hazardous Substances Data Bank [Internet]. Bethesda (MD): National Library of Medicine (US); [Last Revision Date 01/15/2005. cited 2017 Feb ]. Diphenhydramine; Hazardous Substances Databank Number: 46. Available from: https://toxnet.nlm.nih.gov/cgi-bin/sis/search/a?dbs+hsdb:@term+@DOCNO+2882

8.     Hazardous Substances Data Bank [Internet]. Bethesda (MD): National Library of Medicine (US); [Last Revision Date 02/18/2015. cited 2017 Feb ]. Benzyl Alcohol; Hazardous Substances Databank Number: 46. Available from: https://toxnet.nlm.nih.gov/cgi-bin/sis/search/a?dbs+hsdb:@term+@DOCNO+46

9.     Kouba DJ, LoPiccolo MC, Alam M, Bordeaux JS, Cohen B, Hanke CW, et al. Guidelines for the use of local anesthesia in office-based dermatologic surgery. J Am Acad Dermatol. 2016 Feb 27. pii:S0190-9622(16)00074-8. 

10.  Lexicomp Online® , Lexi-Drugs® , Hudson, Ohio: Lexi-Comp, Inc.; February 9, 2017.

11.  McLure HA, Rubin AP. Review of Local Anesthetic Agents. Minerva Anestesiol. 2005; 71:59-74.

12.  Pavlidakey P, Brodell E, Helms S. Diphenhyrdamine as an Alternative Local Anesthetic Agent. J Clin Aesthet Dermatol. 2009 Oct; 2 (10): 37-40.

13.  Ropivacaine Hydrochloride. (2017) Retrieved from: http://www.pdr.net/drug-summary/Naropin-ropivacaine-hydrochloride-2741.2710

14.  Rosenberg PH, Veering BT, Urmey WF. Maximum recommended doses of local anesthetics: a multifactorial concept. Reg Anesth Pain Med. 2004 Nov-Dec. 29 (6):564-75.

15.  Wilson L, Martin S. Benzyl Alcohol as an Alternative Local Anesthetic. Ann Emerg Med May 1999. 33 (5): 495-499

16.  Wolters Kluwer Health, Inc. Injectable local anesthetics. Drug Facts and Comparisons. eFacts [online]. 2017.

17.  Wolters Kluwer Health, Inc. Diphenhydramine injection. Drug Facts and Comparisons. eFacts [online]. 2017.