quarternote Posted October 31, 2014 Share Posted October 31, 2014 I just started working in a rural office. The physicians (2) are dual certified IM/Peds. We have a heavy peds practice but see all ages. I mostly see sick patients. All ages. Prior to this I worked in General Surgery/Bariatrics x5 yrs, 1 yr of Adult Hospitalist & then 1 yr of Neurosurgery. I love this job. But I do have some questions. I did a lot of wound care in my first job which did include some pediatrics. We took them to the OR for I&D's. But these were pretty bad abscesses. I have plenty of experience with adult I&D's, etc. My question is this: In an I&D of a simple abscess 1-2 cm in a 1-2 yr old or older - the doc I work with does not use lidocaine, etc... He just does a quick I&D. What do you all do? Is the dosage for lidocaine in peds 4mg/kg & with epi 7mg/kg? I have spent a good deal of time researching this but would like a consensus of what some of you more seasoned providers do. Thanks for any help Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 31, 2014 Moderator Share Posted October 31, 2014 small stuff like paronychias that basically just need a poke with an 18g needle I don't anesthetize as it hurts worse than the poke. if larger than that I do use a bit of lido and buffer with bicarb 1:10 in kids. Link to comment Share on other sites More sharing options...
quarternote Posted November 1, 2014 Author Share Posted November 1, 2014 Thanks! Link to comment Share on other sites More sharing options...
chjohns22 Posted November 1, 2014 Share Posted November 1, 2014 What about LET or EMLA cream? Non invasive, only 20ish minutes to work. Link to comment Share on other sites More sharing options...
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