• J Dermatol Surg Oncol · Sep 1990

    Comparative Study

    Neutralized lidocaine with epinephrine for local anesthesia--II.

    • J H Stewart, S E Chinn, G W Cole, and J A Klein.
    • Department of Dermatology, University of California, Irvine.
    • J Dermatol Surg Oncol. 1990 Sep 1; 16 (9): 842-5.

    AbstractThe pain usually associated with intradermal injection of lidocaine and epinephrine is significantly attenuated by the addition of either sodium bicarbonate or sodium hydroxide to 1% lidocaine with epinephrine. This suggests that sodium bicarbonate attenuates pain by increasing the pH of the anesthetic solution. The clinical effects of a solution of lidocaine (1%) with epinephrine (1:100,000) and sodium bicarbonate (80 meq/L) were assessed after infiltration in skin. Anesthetic stored for 1 week caused nearly equal areas of anesthesia and vasoconstriction as an identical solution prepared on the day of use.

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