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unknown philosopher
All those numbers and formulas and figures and…and…and…frighten
me…
Why frighten?
3. CALCULATING THE
EQUIPOTENT DOSE
Marcaine is 4 times stronger than
Lidocaine
2.5 : 4 = 0.625 mg/ segment
Does anybody know the height of this great voice?
AND NOW, HERE WE GO…
1 ml for 1 m of height
And the relative subdivisions
HAVE A LOOK!
Cynthia A. Wong
“Spinal and Epidural Anesthesia”, 2006
Chapter 3, page 90
BUT WHY ALL THIS?
BECAUSE LESS LOCAL ANESTHETIC
MEANS:
- Less sympathetic block
- Less swings () in blood pressure
- Less interventions needed from the anesthetist (fluids,
ephedrine etc.)
- Less useless motor block in the lower limbs
- Faster recovery from the motor block and as a
consequence the earlier neurological assessment should
an inadvertent lesion have been produced.
- Less concern for the patient that she doesn’t feel the legs
- Less shivering in the PACU → more comfort for both the
patient and the personnel.
AND, YET, SOMETHING CAN GO WRONG