Original contributionBuffered versus plain lidocaine as a local anesthetic for simple laceration repair
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Cited by (99)
Laceration Management
2017, Journal of Emergency MedicineCitation Excerpt :Lidocaine can be buffered by mixing 9 mL lidocaine with 1 mL of 8.4% sodium bicarbonate. Buffered lidocaine is significantly less painful on injection than regular lidocaine (56,57). Unfortunately, it is not commercially available, and must be compounded by hospital pharmacies.
Laceration repair
2017, Urgent Care Medicine SecretsSedation and Local Anesthesia as an Alternative to General Anesthesia in 3 Birds
2016, Journal of Exotic Pet MedicineDilution of a mepivacaine-adrenaline solution in isotonic sodium bicarbonate for reducing subcutaneous infiltration pain in ambulatory phlebectomy procedures: A randomized, double-blind, controlled trial
2014, Journal of the American Academy of DermatologyWound Management
2012, Critical Care Nursing Clinics of North AmericaCitation Excerpt :Although 30-gauge needles can be used for direct infiltration, 25- or 27-gauge needles are better suited for regional nerve blocks to decrease the possibility of deflection of the needle.18 Other available techniques to decrease pain of infiltration include buffering the anesthetic with sodium bicarbonate in a 1:10 solution, using warm solutions, using slow rates of infiltration, and pretreatment with topical anesthetic.19–21 Regional anesthesia blocks the nerve supply to the area of the laceration.
Management of Soft Tissue Injuries
2012, Oral and Maxillofacial Trauma
Presented at the Society for Academic Emergency Medicine Annual Meeting in Minneapolis, May 1990.