UNCONTROLLED WHEN PRINTED
Introduction
  • Sodium Channel blocker
  • Onset 1-2 minutes

Pharmacology Review

Indications

Local anaesthesia for:

  • IV cannulation
  • IO infusion
  • Suturing
  • Finger thoracostomy in the conscious patient
Contraindications
  • Hypersensitivity
Precautions / Notes
  • Adverse drug reactions are rare when lignocaine is used as a local anaesthetic and is administered correctly.
Management

Intradermal:

  • 0.1mL

Intraosseous:

  • Small child: 10mg in 1mL
  • Small adult/large child: 20mg in 2mL
  • Adult: 40mg in 4mL (2 ampoules)

May be repeated at a second site if needed.

Finger Thoracostomy:

  • 50mg in 5mL
Special Considerations
  • Tinnitus, dizziness, anxiety, confusion, perioral numbness
  • Cardiovascular effects: Bradycardia, hypotension, dysrhythmias
  • CNS effects
  • Respiratory depression

References
References
Presentation
20mg/2ml OR 50mg/5mL; (both 1%) in a plastic ampoule
Ligocaine
Colour assist:

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Date of Issue

Date of Expiry

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