Forestalling Lidomageddon: Local Solutions to the Nationwide Shortage of Lidocaine

Main Article Content

Tanya Shenoy
University of Mississippi School of Medicine

Vinayak Nahar
University of Mississippi Medical Center

Melodie Goodwin
University of Mississippi Medical Center

Stephen E. Helms
University of Mississippi Medical Center

Robert T. Brodell
University of Mississippi Medical Center

William Black
University of Mississippi Medical Center

Keywords

lidocaine, bupivacaine, diphenhydramine, epinephrine, supply chain, local anesthesia

References

1. Morganroth PA, Gelfand JM, Jambusaria A, Margolis DJ, Miller CJ. A randomized, double-blind comparison of the total dose of 1.0% lidocaine with 1:100,000 epinephrine versus 0.5% lidocaine with 1:200,000 epinephrine required for effective local anesthesia during Mohs micrographic surgery for skin cancers. J Am Acad Dermatol. Mar 2009;60(3):444-52. doi:10.1016/j.jaad.2008.08.001

2. Bodie B, Brodell RT, Helms SE. Shortage of lidocaine with epinephrine: Causes and solutions. Journal of the American Academy of Dermatology. 2018;79(2):392-393. doi:10.1016/j.jaad.2018.02.035

3. Vent A, Surber C, Graf Johansen NT, et al. Buffered lidocaine 1%/epinephrine 1:100,000 with sodium bicarbonate (sodium hydrogen carbonate) in a 3:1 ratio is less painful than a 9:1 ratio: A double-blind, randomized, placebo-controlled, crossover trial. Journal of the American Academy of Dermatology. 2020;83(1):159-165. doi:10.1016/j.jaad.2019.09.088

4. Latham JL, Martin SN. Infiltrative anesthesia in office practice. Am Fam Physician. Jun 15 2014;89(12):956-62.

5. Grekin RC, Auletta MJ. Local anesthesia in dermatologic surgery. Journal of the American Academy of Dermatology. 1988/10/01/ 1988;19(4):599-614. doi:https://doi.org/10.1016/S0190-9622(88)70213-3

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Published
Sep 12, 2022
DOI https://doi.org/10.25251/skin.6.5.17

Article Details

How to Cite
Shenoy, T., Nahar, V., Goodwin, M., Helms, S. E., Brodell, R. T., & Black, W. (2022). Forestalling Lidomageddon: Local Solutions to the Nationwide Shortage of Lidocaine. SKIN The Journal of Cutaneous Medicine, 6(5), 441–444. https://doi.org/10.25251/skin.6.5.17
Issue
Vol. 6 No. 5 (2022)
Section
Short Communications
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