title: [Optimization of local anesthesia in ambulatory surgery].
abstract: The optimization of local anesthesia will be one essential condition to enlarge and improve the ambulatory surgery and its acceptation by the patients. Indication to local anesthesia can be increased by prolongation of its duration through adjunction of adrenaline to lidocaine at a 1:200,000 concentration and by diminishing injection-related pain through buffering the anesthetic solution with a 8.4% sodium bicarbonate solution at a concentration of 1 ml to 10 ml of lidocaine. However, this preparation is unstable and must be utilized within a few days.
authors.forename: M
authors.initials: M
authors.lastname: Herrmann
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000592:standards*; D000772:Anesthesia, Local / Q000379:methods* / Q000592:standards*; D000779:Anesthetics, Local / Q000627:therapeutic use; D004338:Drug Combinations; D004837:Epinephrine / Q000627:therapeutic use; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D010342:Patient Acceptance of Health Care; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000779:Anesthetics, Local; D004338:Drug Combinations; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine