Ep 13: Local Anaesthetics for FRCS: What the Books Don't Tell You!

In this enlightening episode of "Scrubbing In," we delve deep into the pharmacology of local anesthetics, covering everything from basic calculations to practical applications in surgery and critical care. Whether you're revising for exams, practicing in the medical field, or just curious about the science behind pain management, this video is packed with critical insights and expert knowledge.

Discover the mechanisms of local anesthetics, including their reversible blockade of pain signals through sodium channel disruption and cell wall expansion. Learn about the different types, from short-acting options like lidocaine to longer-acting anesthetics, and understand their uses in various surgical contexts.

We also tackle the challenges of calculating the correct dosages, the implications of adding adrenaline, and the precautions necessary in specific surgical scenarios. Plus, get a primer on the classification of local anesthetics based on their chemical structure and the potential complications to watch out for.

Whether you're a medical student, a practicing surgeon, or someone interested in the advances in medical treatments, this video offers invaluable insights into the effective use of local anesthetics and their critical role in patient care.

Timestamps:
0:00 - Introduction to Local Anesthetics
0:22 - Mechanisms of Action
1:00 - Types and Applications
2:00 - Calculation and Dosage
3:00 - Complications and Management
4:00 - Practical Tips for Surgeons

Subscribe for more medical insights and deep dives into critical care topics. Leave your questions and experiences with local anesthetics in the comments below!

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Disclaimer: The information provided in this podcast is intended for educational purposes only and should not replace professional medical advice. Always consult with a healthcare provider for any personal medical concerns. Views and opinions expressed in this podcast do not necessarily reflect the official policy or position of any agency or medical institution.

Keywords:
#GeneralSurgery #LocalAnesthetics #MedicalEducation #painmanagement #MedicalPodcast #HealthcareEducation #PatientCare #SurgicalManagement #ScrubbingInPodcasts #MedicalPodcast #SurgicalTraining #EmergencyMedicine #HealthcareProfessionals #FRCS

[DrGhieth]

One little note here, it's the pka we are talking about the PH at which half of the local anaesthetic is ionised.
The PKA for most of LA is around 6.9 and 7.1

[DrGhieth]

Ok
You need to know the dose of the agent
Levobupivacaine: 2ml/kg
Lidocaine 3-5 ml/kg
if mixed with Adrenaline this will be 7 ml/kg
Then you go to the concentration
For simplification, 1% means 10mg/ml

[Tamishaa]

Would be nice to be told that after gallbladder removal how unhappy you will feel with all digestive problems
It’s not a matter of walking out of the hospital and you can eat what you want, far from it . Your given information what so ever

[John_Eric_Gadot]

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0:13

[John_Eric_Gadot]

Hi mate,

You know someone who is a Podcaster?

You see... I`m taking my skills in a new direction and planning to help someone fascinate their Reels/Shorts videos and retain audience up to the end of the videos.

So I was wondering if you know someone who could use my help just like I did to Café Con Podcast and Fast Break Podcast.

Thank you have a good day!
0:32