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In cosmetic surgery, there are many operations due to local anesthesia, and treatment is performed daily using local anesthetics.
A typical anesthetic is the trade name xylocaine (lidocaine hydrochloride)We often use preparations containing the hemostatic agent epinephrine.
Even in dentistry, anesthetics are used, but most of them have a concentration of XNUMX%.
XNUMX% xylocaine may be used in cosmetic surgery, but if used in large amounts, it may cause local anesthesia poisoning and lead to fatal accidents. There have been fatal accidents in the past.
There are more accidents with local anesthesia than general anesthesia, and caution is required.
Even in dentistry, I sometimes see news of fatal accidents caused by giving local anesthesia to children.
The amount and concentration of anesthesia should be as low as possible.
As a general rule, we use XNUMX% xylocaine.
When using more than XNUMXcc, be sure to use XNUMXcc of in-hospital anesthetic.
In addition to lowering the concentration, mix an alkaline solution called Meylon to adjust the pH and mix as neutrally as possible.
This eliminates the pain of infiltration of the anesthetic and greatly reduces the pain during local anesthesia.
The risk of local anesthetic poisoning can be reduced and the pain at the time of injection can be significantly reduced by adjusting the pH of the anesthetic instead of using it as it is.
We also try to use local anesthetics as safely and effectively as possible so as to reduce the burden on the patient during treatment.