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Use of LA with bradycardia

Discussion in 'General Issues and Discussion Forum' started by cheryl, Oct 14, 2009.

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  1. cheryl

    cheryl Active Member


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    We are currently trying to find any information on when not to inject local anaesthesia when a pt has a low pulse rate. We are finding a lot of young healthy pts, sometimes naturally having low pulse rates, but we are wondering what wuld be the cut off point as LA will reduce pulse rate.

    If anyone has any good references or thoughts on this please let me know

    Thank you

    Cheryl
     
    cheryl, Oct 14, 2009
    #1
  2. Paul Bowles

    Paul Bowles Well-Known Member

    Hi Cheryl,

    I can't ever recall coming across any evidence over the last few years that "normal" use of plain lignocaine in sub clinical MSD's may induce bradycardia.
     
    Paul Bowles, Oct 14, 2009
    #2
  3. W J Liggins

    W J Liggins Well-Known Member

    Just the thought that like Paul, I can find no references relevant to the subject. However, if it is a matter of concern then why not use mepivacaine or prilocaine?

    All the best

    Bill Liggins
     
    W J Liggins, Oct 15, 2009
    #3
  4. Paul Bowles

    Paul Bowles Well-Known Member

    Unless you were administering local anaesthesia epidurally or intravenously in a lot larger doses than would be used in the foot, I can't really see this being of any concern.

    W.J. I would imagine mepivacaine or prilocaine would produce the same bradycardic effects as lignocaine if used in large doses spinally or intravenously. Again in the realm of Podiatry I cannot see it really being an issue, especially considering the relatively high MSD of mepivacaine.
     
    Paul Bowles, Oct 15, 2009
    #4

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