Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Editor's Notes
Also cardiac (IV) lidocaine to avoid PABA preservative in Esters. Also IV formulation of benadryl given SQ
Prilocaine in EMLA
Epinephrine more painful
propoxyphene diphenylheptane
Fentanyl high potency transdermal, 25/50/75 mic for 72 hours, need something for breakthrough for first 1-2 days, not for opioid naive
alpha 2 agonist, 1 mic/kg load then 0.5 mic/kg aliquots as needed. Can give intranasal, buccal. HTN/bradycardia possible. Lasts around an hour (not super short)
Also Dissociative (Ketamine), and Neurolepsis (antipsychotics). The term “Conscious” sedation no longer used.
No driving for 24 hours
Late-above alternates with cold, pale, cyanosis and atrophy
onset 1 minute, duration 5-10 minutes, both sedative and analgesic, can use intranasally. More potent than fentanyl.
