Lidocaine capacitación - video

So lidocaine brings about negative inotropic effects

in Antiarrhythmic actions in the heart,

which weaken the force of muscular contractions

and can calm erratic and uncoordinated electro-myocardial activity.

In other words, lidocaine decreases automaticity and suppresses ventricular arrhythmias.

Let's talk about some of the indications. Due to lidocaines antiarrhythmic properties,

its primary use is for cardiac arrest from ventricular fibrillation and pulseless

ventricular tachycardia. In children, either amiodarone or lidocaine would be

used for shock resistant refractory V-Fib, pulsed, or pulseless V-Tach.

Let's talk about precautions and contraindications now. Lidocaine would be contraindicated if there's

a known hypersensitivity to lidocaine or derivatives like xylocaine, novocaine,

or et cetera. Lidocaine is also contraindicated in sinus bradycardia and atrioventricular blocks.

Now for pediatric dosages, the initial lidocaine IV or IO dose for pediatric

patients is one milligram per kilogram. A maintenance infusion could be given at

20-50 micrograms per kilogram per minute. And you would repeat the initial dose if

the infusion is started more than 15 minutes after the initial dose.

Lidocaine