Lidocaine is a topical anesthetic that can be applied to mucous membranes in the form of a numbing spray that works like the numbing cream for skin. Depending on where it is applied, it usually takes 1 to 5 minutes for the anesthesia to take effect and lasts for 10 to 15 minutes.
How to use a numbing spray?
It is unnecessary to dry the site before applying. To use the spray solution, just orient the cannula towards the area to be anesthetized and apply light pressure on the button.It is advisable, after use, to remove the button with the cannula and keep them in an alcoholic solution, to avoid possible crystal deposition.As with any local anesthetic, the efficacy and safety of lidocaine depend on proper dosing, correct technique, appropriate precautions, and emergency preparedness.
Lidocaine is intended for use on mucous membranes and provides effective surface anesthesia that lasts approximately 10 to 15 minutes. Anesthesia usually occurs within 1-5 minutes, depending on the area of application.
Dosage of a numbing spray
The clinician’s experience and knowledge of the patient’s physical condition are important in calculating the dose needed.In elderly or debilitated patients, patients with acute illness or sepsis, and children, doses should be adjusted according to age, weight, and physical condition.
In adults, no more than 20 nebulizations should be used to achieve the desired anesthesia. The number of nebulizations depends on the extension of the area to be anesthetized.
What precautions should I take when using a numbing spray?
Resuscitation equipment, oxygen, and other related drugs should be available when amide-type local anesthetics are administered to mucous membranes.Lidocaine should be used with extreme caution if an infection is present or if the application area is traumatized because, under such conditions, there is rapid systemic absorption.The lowest dose that results in effective anesthesia should be used to avoid high serum levels and adverse effects.
The safety and effectiveness of lidocaine depend on correct dosing, technique, adequate precautions, and rapid emergency response. Repeated doses of lidocaine can cause significant increases in blood levels due to the slow accumulation of the drug and its metabolites.
Tolerance varies according to the patient’s condition. Absorption through mucous membranes and wound surfaces is relatively high, especially in the larynx and bronchial tree.
Lidocaine 10% spray should not be used in cuffs of endotracheal tubes made of plastic. Lidocaine base can cause damage in contact with PVC and non-PVC endotracheal tube cuffs. This damage is described as holes that can cause leakage, leading to loss of cuff pressure.Lidocaine absorption depends on local vascularity.
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