1 Answers
Acute pain: Pain relief during labour: 150 mg (60 ml) of a 0.25% solution, to be given as a bolus dose; alternatively, dose may be given via continuous infusion at 52.5 mg (40 ml) per hr using 0.125% solution or 52.5 mg (80 ml) per hr using 0.0625% solution.
Postoperative pain: 105 mg (40 ml) per hr of a 0.25% solution, 12.58.75 mg (105 ml) per hr of a 0.125% solution or 12.58.75 mg (200 ml) per hr of a 0.0625% solution; dose may be given as an epidural infusion. Max: 150 mg/dose; 400 mg/day.
Peripheral nerve block: 2.550 mg or 1 mg/kg (0.4 ml/kg) of a 0.25 or 0.5% solution. Not to exceed 40 ml. Max: 150 mg/dose; 400 mg/day.
Surgical anaesthesia: Epidural block: 5000 mg (100 ml) of a 0.5% solution or 7550 mg (100 ml) of a 0.75% solution. Caesarean section: 7550 mg (150 ml) of a 0.5% solution. Spinal block: 15 mg (3 ml) of a 0.5% solution. Max: 150 mg/dose; 400 mg/day.
Infiltration anaesthesia:
- Adult: Up to 150 mg (60 ml) of a 0.25% solution. For peribulbar block in ophth procedures: 37.512.5 mg (55 ml) of a 0.75% solution. Max: 150 mg/dose; 400 mg/day.
- Child: For ilioinguinal or iliohypogastric blocks in children <12 yr: 0.625.5 mg/kg (0.25.5 ml/kg) of a 0.25 or 0.5% solution.
When needed, dilutions should be made with normal saline.Not to be used in IV regional anesth (Bier's block) and paracervical block in obstetrics. Do not use 0.75% solution for epidural block in obstetrics. Hypovolaemia, complete heart block.
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