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    Pain Relief in Labour Professional

    Pudendal nerve block This uses 10 ml of 0.5% lidocaine injected behind each ischial spine of the pelvis via the vagina. Use 10 ml for perineal infiltration.

    Minor Surgery in Primary Care Professional

    It is required for cautery but should not be used with cryotherapy. Lidocaine 1% is the most commonly used local anaesthetic and it can be used for these procedures.

    Neuropathic Pain Conditions

    Another example is lidocaine gel. This is applied to skin, with a special patch. It is sometimes used for pain following shingles (postherpetic neuralgia).

    Hiccups Professional

    In patients with severe, intractable hiccups, ketamine and intravenous lidocaine have also been used in a specialist setting. [ 20 ] Parenteral midazolam may be appropriate for patients with ...

    Malignant Hyperthermia Professional

    Arrhythmia may be treated with a beta-blocker or lidocaine. Stop surgery as soon as possible. Cool the patient - eg, iced water through a nasogastric tube.

    Broad Complex Tachycardias Professional

    For refractory cases, consider additional pharmacological agents (eg, lidocaine or sotalol) or overdrive pacing. Caution is required because pharmacological agents may cause myocardial depres...

    Premature Ejaculation Professional

    Options with evidence of efficacy are EMLA® cream and lidocaine gel. [ 7 ] Aerosol sprays are proving popular and novel preparations are being developed but are not yet approved for use ...

    Pleural Effusion Aspiration Professional

    Use local anaesthetic (5-10 ml of 1% lidocaine) to infiltrate the skin and underlying tissues. A 25G needle can be used for this. Avoid the intercostal nerves and vessels that run immediat...

    Vaginismus Professional

    Couples may refer themselves for sexual counselling to a service such as "Relate". [ 6 ] Lidocaine is sometimes used where pain is a principal problem. Consider hormone repla...

    Epidermoid and Pilar Cysts (Sebaceous Cysts) Professional

    Local anaesthetic such as 1% lidocaine with adrenaline (epinephrine) is used (note contra-indications to use of adrenaline (epinephrine) in certain areas).

    Myocarditis Professional

    Drugs causing hypersensitivity reactions Clozapine, acetazolamide, amitriptyline, cefaclor, colchicine, furosemide, isoniazid, lidocaine, methyldopa, penicillin, phenytoin, streptomycin, tet...

    Joint Injection and Aspiration Professional

    Local anaesthetics - eg, lidocaine, bupivacaine. Saline. Radioisotopes. Infliximab. There is some evidence to suggest intra-articular hyaluronic acid is effective and gives more p...

    Pain Relief in Children Professional

    However, there is actually little evidence for topical lidocaine's efficacy as an analgesic and in aiding oral intake in children with painful infectious mouth conditions. [ 10 ] A re...

    Needle Pericardiocentesis Professional

    Antiseptic cleansing fluid such as clorhexidine/povidone-iodine or isopropyl alcohol. 10 ml syringe and fine-gauge needle with 5-10 ml 2% lidocaine for local anaesthesia. 22/25 G needle...

    Adult Cardiopulmonary Arrest Professional

    Further considerations: further amiodarone, calcium, magnesium, bicarbonate: Amiodarone - a further dose of 150 mg may be given for recurrent or refractory VF/VT, followed by an infusion of 900 m...

    Anal Fissure Professional

    Consider prescribing a topical anaesthetic: For adults with extreme pain - eg, 1-2 ml of lidocaine applied as required before passing a stool. Use for a maximum of 14 days. ...

    Coxsackievirus Infection Professional

    Examples are lidocaine oral gel, benzydamine oral rinse or spray, choline salicylate oral gel, warm salty mouthwashes.

    Peyronie's Disease Professional

    Iontophoresis - electromotive drug administration (EMDA) : various researchers have used electrical current (up to 5 mA) to deliver charged drug molecules to the affected area - usually a combination ...

    Pleural Biopsy Professional

    Use up to 8 ml of 2% lidocaine and be sure to infiltrate the relevant structures fully and allow time for the local anaesthetic to act.

    Tinnitus Professional

    Some older studies have made tentative suggestions that selective serotonin reuptake inhibitors (SSRIs), tricyclics or nasal lidocaine can help tinnitus [ 14 ] but many of the proposed treatm...