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Maximum Recommended Doses and Duration of Local Anesthetics (Lidocaine)

Example calculation – Lidocaine when administered without vasoconstriction

Total dose that can be used

Maximum dose of lidocaine (plain, without vasoconstrictor) is 4.5 mg/kg (not to exceed 300 mg)

Example patient weight – 10 kg

Total dose that can be used for this patient = 4.5 mg/kg x 10 kg = 45 mg

Maximum volume of lidocaine administered

Depends on concentration (see conversion table below)

E.g. for 1% lidocaine: contains 10 mg of lidocaine per 1 mL

Max volume of 1% lidocaine that can be administered to a 10 kg patient = 45 mg / 10mg/mL = 4.5 mL

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