Local Anesthesia

Various drugs (anesthetics) that are used to block pain in a particular part is called local anesthesia. The most common local anesthetics used is Lidocaine. They are injected before a surgery or procedure to prevent pain.

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How do Adderall and anesthesia interact?

Query: Hi doctor,My female friend, who is 28 years old, is on Adderall for ADD and scheduled for hip surgery. Should she stop Adderall before surgery? Is there adverse interaction with anesthesia and Adderall. She had a long-term (eight months) adverse reaction to general anesthesia after surgery on the ot...  Read Full »

Dr. Amandeep Singh

Answer: Hi, Welcome to icliniq.com. Your friend need not stop Adderall (combination of Amphetamine and Dextroamphetamine) to get anesthesia. Secondly, the only side effect that may happen is resistant hypotension due to catecholamines depletion. That can be taken care of by the anesthetist. ...  Read Full »

Why dentists do not use Bupivacaine for nerve block?

Query: Hi doctor, Is there a reason why dentists typically do not use Bupivacaine for nerve block for dental procedures? So far, only one dentist used it for me. While it had a slow onset, I was pain free for almost 8 hours. I did not need to take as many narcotic analgesics afterwards. I have really sever...  Read Full »

Dr. Nupur Prashant Shah

Answer: Hi, Welcome to icliniq.com. I have gone through your query and understand it. As you are working in pharmacy, I would like to inform you that Bupivacaine is a long acting, local amide and local anesthetic agent.It is a chemical analogue of Mepivacaine with high lipid solubility and protein binding c...  Read Full »

How likely am I to develop anaphylaxis to local anesthetic if I tolerated it in the past?

Query: Hi doctor, I am 27 years old and really worried about developing anaphylaxis to a local anesthetic. Even though I have had it twice without any problems, I would just like some information on how likely this is to happen and some information to help me put my mind to rest and stop worrying.  Read Full »

Dr. Rakesh Radheshyam Gupta

Answer: Hello, Welcome to icliniq.com. Anaphylaxis may last lifelong. Also, if you have not experienced a severe reaction in the past, you are unlikely to develop the same in future. Do not worry. Just be aware and keep rescue medicine always with you as standby. For more information consult a pediatric ...  Read Full »

Is it safe to opt for cosmetic surgery, which requires the patient to be under local anesthesia for six hours?

Query: Hello doctor, I am a healthy female turning 60. I do have mitral valve regurgitation. I take no medicines other than bioidentical hormones. I exercise regularly, am not overweight, do not smoke, and drink at most two alcoholic beverages per month. I am considering doing cosmetic surgery (brow lift ...  Read Full »

Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hi, Welcome to icliniq.com. I understand your concern. Please be assured that if a general anesthetic is needed, a nurse anesthetist can administer it if required. It is needed only if local anesthesia fails. Please make sure you don’t listen to rumors and get confused. Nurse anesthetists and pl...  Read Full »

How much Propofol is recommended during ORIF surgery?

Query: Hi doctor, What is the recommended dose of Propofol during ORIF surgery on a fractured wrist? The patient is a 57 year old female. Her weight may be about 140 pounds. The surgery may take 30 minutes or so.  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your query and want to add that there are different dosages for different patients. It depends on the patient's other health issue and health conditions. Also, it depends on health, lungs and kidneys health status.Anyway, for patients above 55 ye...  Read Full »

Will my wisdom tooth extraction be painful even if I am given anesthesia?

Query: Hello doctor, Today I got my wisdom teeth pulled and they said they were gonna give me a shot in my mouth. There is no way I will be relaxed. Is there any option they would do for me to be more comfortable?  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. Yes, this is the only way to get local anesthesia. You can also go for general anesthesia but it will be too costly and needs hospitalization. It is a simple procedure, and you will only feel a prick like an insect bite. Do not worry, it is simple and there will be no pai...  Read Full »

Is it necessary to get circumcision done under general anesthesia?

Query: Hello doctor,My urologists have recommended circumcision to improve my symptoms and to be able to look inside the urethra, etc., and wants to perform the procedure under general anesthesia. Can this also be done under local or epidural instead, as I am having anxiety about the general method? Am I o...  Read Full »

Dr. Choudhary Devendra

Answer: Hi, Welcome to icliniq.com. Regarding the type of anesthesia for circumcision and cystoscopy, it can be done under local anesthesia or spinal or epidural anesthesia or general anesthesia. Local has the following benefits of no risk related to anesthesia. The drawback is some discomfort but usually...  Read Full »

How painful is the dental injection?

Query: Hello doctor, I am 17 years old and have always been terrified of needles. I have a cleaning appointment tomorrow. I know that I have a small cavity. Not sure if they are going to get it filled. So I wanted to know, what does the dental injection feel like? How painful is it on a scale of one to ten...  Read Full »

Dr. Shubham Shekhar

Answer: Hello, Welcome to icliniq.com. There is no pain in dental cleaning, and you might have little sensitivity post-cleaning sometimes, which usually subsides within two weeks. So do not worry, you will be fine, and if there is a cavity, it is better to get it filled at the earliest before it becomes d...  Read Full »

Why do I have burning sensation on tongue three days after root canal injection?

Query: Hello doctor, I had a root canal done. I was given an injection that kind of hurt. After that, I realized my tongue was numb but by the end of the day, it got better. When I woke up the next day, I had a tingling sensation but by the end, it changed from tingling to burning. I can bite my tongue and...  Read Full »

Dr. Divya Banu M

Answer: Hello, Welcome to icliniq.com. How are you doing? Do not worry. This is the reversal of anesthesia effect. It is just that it is taking a little longer time in you. Tingling sensation means that the nerve anesthesia is going off. Wait for two more days. If you still feel numbness, then get back t...  Read Full »

Please explain the procedure of cystoscopy.

Query: Hi doctor, My urologist wants me to have a cystoscopy done and he said the preparation for this procedure is a numbing solution. I am trying to find whether the procedure can be done through general or local anesthesia. Do you have any suggestions?  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hi, Welcome to icliniq.com. Cystoscopy is a procedure in which a small scope is introduced from your urethra into your bladder. It can be done under local or general anesthesia. Advantages with local anesthesia are that you will have minimal side effects and it can be done as an outpatient pr...  Read Full »

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