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BNSSG Paediatric Joint Formulary

15.2 Local Anaesthesia

Last edited: 31-01-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs

15.2 Local Anaesthesia

Bupivacaine

Bupivacaine 5mg / Glucose 80mg /mL injection (TLS Green)

Bupivacaine 0.25% / Adrenaline 1 in 200,000 injection (TLS Green)

Bupivacaine 0.5% / Adrenaline 1 in 200,000 injection (TLS Green)

Bupivacaine 0.1% for epidural infusion (TLS Red)

Bupivacaine 0.1% / Fentanyl 2micrograms/mL epidural (TLS Red)

 

Cocaine

Cocaine 5% solution (TLS Red)

Cocaine 5% / Adrenaline 1:2000 gel (TLS Red)

 

Levobupivacaine

First line in BRHC theatres

Levobupivacaine 2.5mg/mL, 5mg/mL and 7.5mg/mL injection (TLS Red)

 

Lidocaine

Lidocaine 0.5%, 1% & 2% injection (TLS Green)

Lidocaine 1% / Adrenaline 1 in 200,000 injection (TLS Green)

Lidocaine 2% / Adrenaline 1 in 200,000 injection (TLS Green)

Lidocaine 2% / Adrenaline 1 in 80,000 cartridge (TLS Green)

Lidocaine 2% / Adrenaline 1 in 80,000 self-aspirating cartridge (TLS Green)

Lidocaine 5% ointment (TLS Green)

Lidocaine 4% cream (LMX 4®) (TLS Green)

  • First line BRHC

Lidocaine 2.5% / Prilocaine 2.5% cream (Emla®) (TLS Green)

  • Third Line BRHC

Lidocaine 5% / Phenylephrine 0.5% topical solution (TLS Green)

Lidocaine 10% (10mg/dose) spray (TLS Green)

Lidocaine 2% / Chlorhexidine 0.25% gel (TLS Green)

Lidocaine 4% solution (TLS Green)

Lidocaine 2% gel (TLS Green)

 

Ropivacaine

Ropivacaine (TLS Red)

  • To numb surgical incision from laparotomies via specialist infusions during the first 72 hours following surgery

 

Tetracaine

Tetracaine 4% gel (Ametop®) (TLS Red)

  • 2nd line BRCH

 

Combination product

LAT (Lidocaine, Adrenaline and Tetracaine) gel (TLS Red)

  • Children’s A&E