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#localanesthesia #analgesia #anesthesia ##implant #herniarepair #localinfiltration #epidural #nerveblock #labor #naturaldelivery #vaginaldelivery #combinedspinalepidural #cse #medicalstudent #pharmacystudents #pharmaguru How to Pronounce Bupivacaine - Marcaine Preservative Free - Marcaine Spinal - P-Care M ;Posimir - Sensorcaine - Sensorcaine-MPF - Xaracol in a nutshell. Local Anesthetic Analgesia/Anesthesia Implant Analgesia, postsurgical: 300 mg (3 × 100 mg implants) as a single dose placed into the inguinal hernia repair surgical site. Injection: Note: Dose varies with procedure, depth of anesthesia, vascularity of tissues, duration of anesthesia, and condition of patient. Do not use solutions containing preservatives for caudal or epidural block. Local anesthesia Infiltration: 0.25% infiltrated locally or 0.5% Epidural block Surgical procedures requiring a high degree of muscle relaxation and prolonged effects only: Note: Not to be used in obstetrical cases: 10 to 20 mL of 0.75% Peripheral nerve block: 5 mL of 0.25% or 0.5%; maximum: 400 mg/day Sympathetic nerve block: 20 to 50 mL of 0.25% Retrobulbar anesthesia: 2 to 4 mL of 0.75% Spinal anesthesia: Preservative-free solution of 0.75% bupivacaine in 8.25% dextrose: Lower extremity and perineal procedures: 1 mL Lower abdominal procedures: 1.6 mL Labor and normal vaginal delivery: 0.8 mL (higher doses may be required in some patients) Cesarean delivery: 1 to 1.4 mL Combined spinal-epidural (CSE) technique for labor analgesia Combined spinal-epidural (CSE) technique for anesthesia for Cesarean delivery Subacromial injection (Posimir): Infiltration: Arthroscopic subacromial decompression surgery: