Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

[Guest guest]

HIAccording to the BNF THE FIRST LA OF CHOICE IS:1. Mepivcaine without adrenaline2. prilocaine with or without felypressin ( nb: limit the felypressin dose in child with coronary heart disease as it cause coronary spasm.http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-local-anaesthesiabest of luckebtisam From: doc_margi <doc_margi@...>

Sent: Wednesday, 7 March 2012, 17:22 Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

Hi can anyone confirm which is preferred in cardiac arrhythmia patient lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so confusing.

Thanks

Margi

[Guest guest]

Thanks a lot ebtisam

Regards,

Margi

>

> HI

>

>

> According to the BNF THE FIRST LA OF CHOICE IS:

>

> 1. Mepivcaine without adrenaline

> 2. prilocaine with or without felypressin

>  ( nb: limit the felypressin dose in child with coronary heart disease as it

cause coronary spasm.

>

http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-loca\

l-anaesthesia

> best of luck

> ebtisam

>

>

>

> ________________________________

> From: doc_margi <doc_margi@...>

>

> Sent: Wednesday, 7 March 2012, 17:22

> Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

>

>

>  

> Hi can anyone confirm which is preferred in cardiac arrhythmia patient

lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so

confusing.

>

> Thanks

> Margi

>

[Guest guest]

According to scully,prilocaine with felypressin is contraindicated in cardiac patient.Though this is given to ischemic heart disease patients.(according to masters) but its written no evidence weather it is safer or nt.so i guess plain prilocaine should be given or mepivacaine without adrenaline. From: ebtessam elhamalawy <ebtessamhamalawy@...> " "

< > Sent: Wednesday, 7 March 2012 5:29 PM Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

HIAccording to the BNF THE FIRST LA OF CHOICE IS:1. Mepivcaine without adrenaline2. prilocaine with or without felypressin ( nb: limit the felypressin dose in child with coronary heart disease as it cause coronary spasm.http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-local-anaesthesiabest of luckebtisam From:

doc_margi <doc_margi@...>

Sent: Wednesday, 7 March 2012, 17:22 Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

Hi can anyone confirm which is preferred in cardiac arrhythmia patient lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so confusing.

Thanks

Margi

[Guest guest]

Hi Kanika

I agree it should be Mepivaciane according to scully also or prilocaine as

second option without adrenaline

>

> According to scully,prilocaine with felypressin is contraindicated in cardiac

patient.

> Though this is given to ischemic heart disease patients.(according to masters)

but its written no evidence weather it is safer or nt.

>

> so i guess plain prilocaine should be given or mepivacaine without adrenaline.

>

>

> ________________________________

> From: ebtessam elhamalawy <ebtessamhamalawy@...>

> " " < >

> Sent: Wednesday, 7 March 2012 5:29 PM

> Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s

prilocaine

>

>

>  

> HI

>

>

> According to the BNF THE FIRST LA OF CHOICE IS:

>

> 1. Mepivcaine without adrenaline

> 2. prilocaine with or without felypressin

>  ( nb: limit the felypressin dose in child with coronary heart disease as it

cause coronary spasm.

>

http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-loca\

l-anaesthesia

> best of luck

> ebtisam

>

>

>

> ________________________________

> From: doc_margi <doc_margi@...>

>

> Sent: Wednesday, 7 March 2012, 17:22

> Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

>

>

>  

> Hi can anyone confirm which is preferred in cardiac arrhythmia patient

lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so

confusing.

>

> Thanks

> Margi

>

[Guest guest]

HI . BUT LIDOCAIN IS ANTIARRITHMIC DRUG. Lidocaine is also the most important class 1B antiarrhythmic drug: it is used intravenously for the treatment of ventricular arrhythmias (for acute myocardial infarction, digitalis poisoning, cardioversion or cardiac catheterization).WIKI From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent: Wednesday, 7 March 2012, 17:29 Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

HIAccording to the BNF THE FIRST LA OF CHOICE IS:1. Mepivcaine without adrenaline2. prilocaine with or without felypressin ( nb: limit the felypressin dose in child with coronary heart disease as it cause coronary spasm.http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-local-anaesthesiabest of luckebtisam From:

doc_margi <doc_margi@...>

Sent: Wednesday, 7 March 2012, 17:22 Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

Hi can anyone confirm which is preferred in cardiac arrhythmia patient lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so confusing.

Thanks

Margi

[Guest guest]

yes u can also use lidocaine but this is the sequence suggested by the BNF From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Wednesday, 7 March 2012, 19:16 Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

HI . BUT LIDOCAIN IS ANTIARRITHMIC DRUG. Lidocaine is also the most important class 1B antiarrhythmic drug: it is used intravenously for the treatment of ventricular arrhythmias (for acute myocardial infarction, digitalis poisoning, cardioversion or cardiac catheterization).WIKI From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent: Wednesday, 7 March 2012, 17:29 Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

HIAccording to the BNF THE FIRST LA OF CHOICE IS:1. Mepivcaine without adrenaline2. prilocaine with or without felypressin ( nb: limit the felypressin dose in child with coronary heart disease as it cause coronary spasm.http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-local-anaesthesiabest of luckebtisam From:

doc_margi <doc_margi@...>

Sent: Wednesday, 7 March 2012, 17:22 Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

Hi can anyone confirm which is preferred in cardiac arrhythmia patient lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so confusing.

Thanks

Margi

[Guest guest]

Hi

Yes even I thought answer should be lidocaine but scully and BNF says

Mepivacaine and Prilocaine so I think we should stick with the book....maybe as

LA lidocaine is not used as antiarrhthymic ..and is incorporated in drugs for

it???

>

>

>

>  

> HI . BUT LIDOCAIN IS  ANTIARRITHMIC DRUG. 

> Lidocaine is also the most important class 1B antiarrhythmic drug: it is used

intravenously for the treatment of ventricular arrhythmias (for acute

myocardial infarction, digitalis poisoning, cardioversion or cardiac

catheterization).WIKI

>

>

> ________________________________

> From: ebtessam elhamalawy <ebtessamhamalawy@...>

> " " < >

> Sent: Wednesday, 7 March 2012, 17:29

> Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s

prilocaine

>

>

>  

> HI

>

>

> According to the BNF THE FIRST LA OF CHOICE IS:

>

> 1. Mepivcaine without adrenaline

> 2. prilocaine with or without felypressin

>  ( nb: limit the felypressin dose in child with coronary heart disease as it

cause coronary spasm.

>

http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-loca\

l-anaesthesia

> best of luck

> ebtisam

>

>

>

> ________________________________

> From: doc_margi <doc_margi@...>

>

> Sent: Wednesday, 7 March 2012, 17:22

> Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

>

>

>  

> Hi can anyone confirm which is preferred in cardiac arrhythmia patient

lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so

confusing.

>

> Thanks

> Margi

>

[Guest guest]

YES THE BEST ANSWER IS PRILOCAIN GUYS. SORRY FOR MISLEAD YOU. From: doc_margi <doc_margi@...> Sent: Wednesday, 7 March 2012, 21:58 Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

Hi

Yes even I thought answer should be lidocaine but scully and BNF says Mepivacaine and Prilocaine so I think we should stick with the book....maybe as LA lidocaine is not used as antiarrhthymic ..and is incorporated in drugs for it???

>

>

>

> Â

> HI . BUT LIDOCAIN IS Â ANTIARRITHMIC DRUG.Â

> Lidocaine is also the most important class 1B antiarrhythmic drug: it is used intravenously for the treatment of ventricular arrhythmias (for acute myocardial infarction, digitalis poisoning, cardioversion or cardiac catheterization).WIKI

>

>

> ________________________________

> From: ebtessam elhamalawy <ebtessamhamalawy@...>

> " " < >

> Sent: Wednesday, 7 March 2012, 17:29

> Subject: Re: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

>

>

> Â

> HI

>

>

> According to the BNF THE FIRST LA OF CHOICE IS:

>

> 1. Mepivcaine without adrenaline

> 2. prilocaine with or without felypressin

> Â ( nb: limit the felypressin dose in child with coronary heart disease as it cause coronary spasm.

> http://www.evidence.nhs.uk/formulary/bnfc/2011-2012%20V6/15-anaesthesia/152-local-anaesthesia

> best of luck

> ebtisam

>

>

>

> ________________________________

> From: doc_margi <doc_margi@...>

>

> Sent: Wednesday, 7 March 2012, 17:22

> Subject: LA in cardiac arrhythmia patient ???Lignocaine v/s prilocaine

>

>

> Â

> Hi can anyone confirm which is preferred in cardiac arrhythmia patient lidocaine or prilocaine with reference. In scully it is Mepivacaine ...its so confusing.

>

> Thanks

> Margi

>