As local anesthetics and sedative agents both depress the CNS it is recommended that the dose of local anesthesia be adjusted downward when sedating children with opioids. Narcotics may decrease the amount of protein binding of local anesthetics and elevated arterial carbon dioxide which increase CNS sensitivity to convulsions.
For patients undergoing general anesthesia, the anesthesia care provider must be made aware of concomitant use of a local anesthetic containing epinephrine as epinephrine can produce dysrhythmias when used with halogenated hydrocarbons (e.g., halothane). The dosage of local anesthetic does not need to be altered if nitrous oxide/oxygen analgesia/anxiolysis is administered alone.1
Your session is about to expire. Do you want to continue logged in?
WARNING! You did not finish creating your certificate. Please click CONTINUE below to return to your previous page to complete the process. Failure to complete ALL the steps will result in a loss of this test score, and you will not receive credit for this course.