Best Infiltration Practices App

Hip and Knee Arthroplasty & Orthopedic Surgery

Best Infiltration Practices - local analgesic techniques for abdominal and orthopedic surgery

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Disclaimer is PocketGuide attempts to define principles of practice that should produce high-quality patient care. It should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. e views and opinions contained in this PocketGuide are those of the contributors and are not approved or endorsed by affiliated institutions or associations. Neither IGC, medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. 106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 Copyright © 2014 All rights reserved BIP14052c Onset and Duration of Local Analgesic Action * Onset (min) Duration (hr) Prolongation With Epinephrine Toxic Dose With Single Administration Lidocaine <5 ½-1 ++ 4-5 mg/kg (7 mg/kg with epinephrine) Bupivacaine 5 ~3-6 +/− 1.7-2 mg/kg Mepivacaine <5 ¾-1½ ++ 4-5 mg/kg (7 mg/kg with epinephrine) Ropivacaine 1½-3 +/− 3 mg/kg Bupivacaine liposome injectable suspension 19 5 Up to 72 N/A Safety data up to 532 mg (266 mg per surgical site) Key: ++, significant potentiation; +/−, some potentiation; N/A, not applicable. *Adapted from Sinatra et al. Surgeon's Guide to Postsurgical Pain Management. 20 Overview of Local Analgesics Infiltration Technique Videos Î To enhance the local analgesic infiltration techniques described and illustrated in this Best Infiltration Practices PocketGuide, members of the Working Group have provided narrated videos of the techniques.

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