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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive >  Surgical Drugs 2004

10 Tips for Improved Local Anesthesia

Easy-to-implement strategies for more effective use of local anesthetics.

Barry Friedberg, MD

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Categories: Anesthesia, Supplies/Implants
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1. Buffer the solution.; 2. Dose adequately.; 3. Mix an alternative.; 4. Look for peau d'orange.; 5. Use a 30-gauge needle for periocular injections.; 6. Develop procedure-specific protocols.; 7. Start with a skin wheal.; 8. Give general before local.; 9. Practice preemptive analgesia.; 10. Obtain the dissociative state.; Absorb what's useful; B's; Buffer; Clinicians; Develop; Dose; Fewer; Give; Injecting; Mix; NMDA; Obtain; Plan; Practice; Preemptive; Start; Well-oxygenated; addition; additional; adequate; administration; adults; advancing; affected; ahead; analgesia; anesthesia; anesthetic; ... show all keywords
1. Buffer the solution.; 2. Dose adequately.; 3. Mix an alternative.; 4. Look for peau d'orange.; 5. Use a 30-gauge needle for periocular injections.; 6. Develop procedure-specific protocols.; 7. Start with a skin wheal.; 8. Give general before local.; 9. Practice preemptive analgesia.; 10. Obtain the dissociative state.; Absorb what's useful; B's; Buffer; Clinicians; Develop; Dose; Fewer; Give; Injecting; Mix; NMDA; Obtain; Plan; Practice; Preemptive; Start; Well-oxygenated; addition; additional; adequate; administration; adults; advancing; affected; ahead; analgesia; anesthesia; anesthetic; anesthetics; appearance; apply; approach; area; augmentations; avoid; back; bag; bellies; benefit; bicarb; block; blocking; blocks; body; breast; buffering; bupivicaine; cardiac; care; cerebral; clonidine; consciousness; conservative; cord; costs; d'orange; damage; decreases; deeper; defined; depending; dissociate; dissociative; dose; effective; epinephrine; exceed; facilities; field; fluid; follow; general; gradual; hematomas; hypnotic; improve; inadequate; incision; incisional; incoming; induction; inject; injected; injecting; injection; injections; keeping; ketamine; lack; lactated; leave; lidocaine; limit; local; longer; makes; management; means; measurement; method; midbrain; minutes; mixing; money; monitor; movement; needle; normal; note; number; numerical; obtain; obtained; occurs; operative; ophthalmologists; opposed; outdated; overly; page; pain; patient; patients; peau; percent; perform; periocular; phenomenon; plastic; po; pockets; post-op; potential; predictable; predictably; preemptive; preferable; procedure-specific; produces; promoting; provider; rate; re-inject; reaching; receive; receptors; rectus; reduce; required; response; ridge; ringers; risking; rofecoxib; saline; satisfaction; save; share; sheath; skills; skin; slower; small; solution; spinal; start; state; sticking; stimulating; stimulus; sting; strategies; subsequent; substantially; supraorbital; temperature; tips; tolerate; total; treating; tumescent; typically; unnecessary; unrelated; valdecoxib; variable; vary; waking; wetting; wind-up

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