Injecting Lidocaine for a Laceration - HD Video Demonstration!

[@minimedlessons]

Thank you all for watching my video! A good next video for you might be this one - kzbin.info/www/bejne/iHK5kqGbZt6pr7c - Check it out!

[@vettechgeekgirl3559]

Thank you for the best, most thorough playlist on the subject.

[@marymaebernas3350]

What is the procedure. Sir, E and R, y the Needle so big, the w/drawal it should standby to bottle for the next used, g23,

[@mr.mustache4743]

Thank you, very informative.

[@ayushikumar5594]

Thank you so much for explaining the "why" in each step of the process. You answer so many questions as you go, it's phenomenal. Really helps in actually learning the procedure rather than simply memorizing each step without understanding why

[@minimedlessons]

I’m so glad you found it to be helpful!

[@gigicoogler]

@@minimedlessons exactly, so helpful. The how is being taught consistently but the why is priceless!! ❤️

[@asadjoya8017]

I did my first LA and stitches today

[@asadjoya8017]

@@ThuthukileMkhize how was it?

[@philippinecharity7212]

OBGYN-RN here.... 'Someone' didn't iron the perineum......

[@Raysgarage90]

First Los Angeles?

[@danay6941]

@@Raysgarage90 LA -> local anesthetic

[@gozob]

this is incredibly helpful, thank you. Aspirating before numbing is a really good technique.

[@wholeNwon]

It's conceivable that the epi. would be an issue for a sensitive pt. but the volume of lidocaine used would not be. Obviously the pt. is asked about known allergies before proceeding.

[@prateekkumarsharma1136]

Had a great experience with the Professional and Experience staff. It was a very pain relief moment with every session I had in Physioveda Medical Center, your caring and dedication are really outstanding. I would surely recommend this Center to Everyone. Many Thanks to Physioveda and Team.

[@minimedlessons]

I’m glad you had a good experience! I have no association with that medical center though. Perhaps you meant to comment on a different video?

[@mannymaggot]

don't know how I ended up here but this is amazing

[@minimedlessons]

Thanks for the comment. :)

[@Jo2h_]

It is pretty good

[@globalsmile]

Great instructional video . I usually enter the skin from one side and advance to the other end of laceration and inject as i retract, after negative aspiration, so there's no need to redirect the needle.

[@teddymochama]

Amazing. Thank you for explaining it extensively... massive help

[@brettp_DO]

Thank you so much for making this! Great refresher for my EM audition.

[@carrieunrein2060]

I watched this video again. I'm doing great on my practice sutures. I obtained the correct lidocaine. I'm not a med student. I'm the wife of a fireman who works on cars, etc. I'm ready for his next project that could result in a deep cut; again, that may need stitches. Thank you. Your tutorials are the best ones on KZbin 😊😊😊😊👍🏼👍🏼👍🏼👍🏼

[@minimedlessons]

I am happy to hear you enjoy my videos and feel they are the best on KZbin. Thank you. 😊 That being said, please understand that my videos are intended for students and practitioners of nursing and medicine. I do not and cannot support addressing lacerations at home. There is much more to laceration care than just closing it. As it has always said in the description of this video, I officially advise anyone who experiences a laceration or significant skin injury to seek immediate medical attention at a clinic or hospital. Thank you.

[@salonibehera6762]

@@minimedlessons can i ask something..? Do we need to put injection on both the side of a laceration before sutures?

[@Paragon_Reason]

I had a dentist one time inject lidocaine in my jaw as he went... He's inject, wait, jiggle (slightly bump almost like tapping) needle, advance, inject, wait, jiggle, advance, inject, wait, jiggle and I literally didn't feel him inject anything even though it was deep into my jaw on inside of my mouth. Was truly a work of art.

[@nickhaley1212]

Its weird I'm not a doctor of any kind but I still find myself watching these videos and buying practice suture kits then i sit around suturing for no reason except boredom. I guess if for some reason the world ends and people need stiches I'll be an expert lol since I can now do about every kind of stich there is and from the looks.of my stiches when finished it looks better than most doctors doing it on youtube. Guess that's probably because there not sitting around suturing for 6 hours a day there actual doctors and have a lot more to learn and are to busy to practice sutures all day lol but hey it's fun and very interesting. I think I have watched every surgery and suture video on youtube. Within a few years I'll be an expert brain/heart surgeon that has never done any surgery in my life. lol but I can tell you step by step what to do what it should look like and what to look for if something isn't right. I guess I should have went to med school. It is very interesting i could learn surgery every day and be happy as ever it is just so fascinating and so much fun to learn and watch.

[@RandomTVint]

Me tooooo, I'm not a doctor but I practice medicine and recently start to practice suturing , don't know why exactly but when I use any device I want to know how it actually works and to know all information about it, same here I want to know how this body that I use it every day works. That was so cool when I read your comment

[@samryon3615]

I have stitched up a friends...but the last time my best friend literally screamed from the pain. I tried to use lidocaine cream. Where do i go to get the stuff they show in these videos?

[@YourMomfailedu]

Do you happen to live in Ohio? You could come to our compound post apocalypse and be our fist aid person. We're looking for people that bring value like yourself. We can't just take in people that bring nothing to the table. 😁

[@dianefresca6896]

Excellent share. As a nurse I love the sutures. I need to get a practice set. When things go sideways,and it will I can help

[@ZeePark21]

It's time to go to med school. You seem to have the passion for it and you're just not fully aware.

[@mcbadger2440]

Super awesome stuff, man. I think the logic of not being in a vessel is that, in that circumstance, your lidocaine leaves the area where you want its action. Certainly, it can be used for arrhythmias, but it would take a MUCH larger dose to be problematic. Even a little of the 1:100,000 epi in a vessel would be alright. Either way, super informative video, brother! Thanks for your time!

[@minimedlessons]

Yes, awesome. Thanks for the comment!

[@think-islam-channel]

Do you have a reference regarding what doses are risky? Would be interesting to see what the details are.

[@think-islam-channel]

Rotating the needle from the same spot seems like it would cause more damage rather than less. I would have thought that 2 longer punctures on either side would cause less damage to tissues. The needle is fine and the skin would collapse to cover the track once it is removed. Rotating in one spot is going to cause shearing damage to that area. What's your thoughts on this?

[@breveennkukan3603]

Great demonstration. Exactly what I was looking for.

[@minimedlessons]

Glad it was helpful!

[@yb6451]

great video. A way to reduce the burning sensation of lidocaine is to add a bit of bicarb. I've been doing that for some years now and it should be more known in my opinion. Seems the lidocaine burns because it's more acidic than the tissue.

[@yosefyitz]

@Katie Bricker I use 1:10-1:20 bicard to lido

[@Person._.0]

It doesn’t affect its efficacy at all or do any harm to the tissues?

[@yosefyitz]

@@Person._.0 no. It helps neutralize the acidity of the lido

[@dave0z96]

I had to have emergency hand surgery due to getting my hand caught in a diesel engine cooling fan blade and they used a lot of this stuff on me, my hand was numb for 8 hours . They had to scrub and clean the dirt out of the wound down to the bone fix tendons a nerve and put a bone back into place . The surgery was successful I still got all my fingers and everything works right thank god .

[@zkalalah190]

I did my first lidocaine injection today 😁

[@SnareMan]

Some good points in the video. As for aspirating - it isn't realistically possible to continuously aspirate as you are infiltrating a wound to see see if you are passing through a few mm vessel. If you are going to deposit the anesthetic all in one spot without moving the needle , sure, but if you are moving it it seems unrealistic. Also, if the ACLS dose is 1-1.5mg/kg (say 70mg dose for the average person) and lidocaine is 10mg/ml it wouldn't seem you could get a toxic dose into a vessel as you were passing through it injecting. You might get a few tenths of a ml in it as it passes through? I don't know how much intravascular dose you need to cause a systemic side effect, but I'd think that wouldn't be enough?

[@kaufjj]

Lawyers dude.

[@SnareMan]

@@kaufjj I found one under a patient's bed the other night

[@julianleil7847]

Exactly what I i think, but since I push a large amount at once in one place, I aspirate then inject

[@iriss3460]

I got my birth control implant inserted on Oct. 22 and it wasn’t as painful as I thought it’d be. The anesthesia was inserted the way he showed. Pretty happy with my choice to get the implant 🥰

[@bengood7337]

Hi baby how are you doing now i hope you are really doing good you are awesome looking at you baby makes happy when I look at your picture it is beyond my imagination that a creature like you really exist like a rose you make the garden so beautiful You are a diamond to any man that have eyes to see goodness of a womanhood Baby am Ben easy going person very understandable Am a civil engineer and a contractor I work at so many places like Asia Europe and Africa I love art craft and I write music I like ideal people when I see your picture am impress I want a good woman that understand what real love is all about who will understand me and perfectly be for me So we can build our world strong enough to care for each other I want you to be mine and I hope to hear from you soonest thanks

[@mikadeboos2051]

Hey there! I've got a question again :D Your argument for injecting when you pull back is so that you know that you're not injecting the lidocaine into a vein. But how do you know that halfway back you're not in a vein, since you only aspirated when you where at the deepest point? The deepest point will not be inside a vein, but if you had passed a vein without noticing, you will pass it again on your way back, injecting lidocaine into it. Or would you have noticed this by causing extravasation when passing through the vein? I have no experience on this matter whatsoever, this just came up to me. Thanks for answering!

[@minimedlessons]

Hi again! Another great question! (You sound like a great nursing student). Yes, you're right, there's a chance you could have passed through a vessel and may not notice when aspirating at the deepest point. However, because you're withdrawing as you inject, only a small amount of lidocaine might enter the vessel as the needle backs out of the vessel. It's not overly problematic. The main concern with possibly injecting a small amount of lidocaine into a vessel as you're backing out is a small amount of lidocaine will float off down the vessel rather than staying where you want it to stay. The concern of causing an arrhythmia is not really a big concern. I hope that answers your question.

[@mikadeboos2051]

MiniMedLessons Thanks again! Hope to see some more of your video’s!

[@minimedlessons]

Mika De Boos you bet! Recording a new one tonight! I’m starting a comprehensive EKG interpretation series that will be about 14 episodes long. Stay tuned!

[@newmanlord7130]

Significant Video, Doc, Hi from Ghana.

[@sabrinajarin2231]

Thank you for a such a nice demonstration

[@xavieragee3916]

What the. Oh ma gawd 😱. You didn't pull it out. Were you scraping under the skin or is the soft tissue movable.

[@gentleauroraasmr8562]

Thank you so much for this video. I have a question, how much of the lidocaine do you use, like once you inject the lidocaine inside the syringe, do you use all of it to inject it to the skin? and what cc of the syringe do you use? Like do you use a 1cc?

[@daze4341]

I'm not a doctor but find this interesting.

[@shereenshabin9056]

Thank you for this and all of your other videos!

[@minimedlessons]

Thank you for watching and for your kind comment!

[@Resident100-g3q]

Excellent presentation❤

[@amiraabdo7366]

Amazing, that was artistic

[@marisagarcia7166]

The why helped me ! Thank you

[@hunterstokes9306]

Not a doctor or educated really what so ever but I always thought that when you turn the needle 90° while in the skin, that it was kind of stretch or rear the tissue. Clearly the more you remove the needle it wouldent bee as bad But I wonder what's going on in the skin when you do that does your skin just stretch around a fabric or are like cutting b The flesh a little

[@MariamM-qs4wb]

That is so helpful thank you so much

[@95mohad]

That’s was help full thank you brother 💯💯♥️

[@minimedlessons]

I'm so glad it was helpful! Thanks for following!

[@JungleEd17]

Question: My son had a cut on his head that looked almost exactly what you showed. It was clean but he fell in a place that housed pig feed. The doctor injected so much stuff under scalp and so fast that the whole wound bubbled up like a half sized ping pong ball. What that Lidocaine? Was he trying to clean the wound? He also put tons and tons of hydrogen pyroxide and betadine/iodine soaked gauze in it. Really painful for the little guy.

[@Sartorius988]

Yeah, that likely was lidocaine. The wound would definitely be considered dirty because he fell into a place that housed pig feed, so the hydrogen peroxide wash makes sense. It may have been overkill but I don't think anything bad was done.

[@kylehenderson4524]

Two questions. Would you do both sides of the laceration, and if so, do you use a new syringe for the second one?

[@samimmondal5284]

yeah both side & no need to replace needle as it's the same person .

[@shainakalesh]

@@samimmondal5284 old used needles becomes dull and duller after every use... Maybe a new one

[@gehirnakrobat883]

How do you know you didn't perforate and leave a larger vessel before aspiration and the inject Lidocaine into the larger vessel as you pull back??

[@minimedlessons]

Great question! Theoretically, that can happen. However, if you’re injecting as you pull back, any vessel the tip of your needle passes through as you withdraw the needle will only receive a very small amount of lidocaine. It with be taken away in the blood flow of the vessel but will be so little in amount that it will not hurt the patient.

[@gehirnakrobat883]

@@minimedlessons Thank you! :) But that leaves one more annoying question: Then why do an aspiration at all? Do we usually inject a larger volume in the beginning before starting to pull the needle back? Or is it just because one aspiration at one point is better than no aspiration at all?

[@nancydrew8388]

Can there be any side effects from using a 1% solution of lidocaine on a bleeding finger from a splinter?

[@nataliayoung3734]

When I was a teenager, I had 2 Lydo-Caine, shots, to numb up my ear lobe, for surgery. It hurt.

[@micjam1986]

i got so many stitches as a kid, when my mom went to the E.R. for stitches the Doctor said " wheres michael??" lol true!

[@TheAmmorna]

Thank you for sharing this video

[@wildness01]

Do you ever start by irrigating the laceration itself with a small amount of lidocaine and waiting a couple minutes before proceeding to the injections so as to numb the area before injecting deeper?

[@wholeNwon]

I always did in conscious pts. Makes a difference esp. when the pt. is frightened. Inject slowly to minimize pain.

[@faimafabz6091]

What if the wound is not straight and it is dirty?? How do you inject the anesthetic?

[@BabyBlondie311]

New drinking game: take a shot every time he says "laceration" You might meet him in the emergency room!

[@MrBeachwaves]

Thanks for your video. When injecting from inside the wound approx how many CC’s do you inject before re-positioning the needle? Also, do you inject on either side of the wound? Thanks

[@minimedlessons]

The amount of lidocaine used usually depends on the size of the laceration. For something that is 3 cm long or so, I'll probably use a total of about 3 cc of lidocaine for the entire laceration, injecting both sides.

[@MrBeachwaves]

MiniMedLessons Thank you for taking the time to respond!

[@drkh5137]

@@minimedlessons yesssss lastly i get it thank you soooooo much😊🌹

[@drkh5137]

@@minimedlessonsis this dose for children also ??

[@swiftlyturnip]

Do you scrub out a wound that's straight and clean with gauze?

[@joeblow9295]

can your incision grow over the stitches after there was some swelling the first 3 days after the surgery? what will the Dr have to do if that happens to remove the sutures?

[@rebekkahreyes9073]

How much mls do u usually put for each section

[@jorgenegrete1482]

Where do you get this stuff at. Do you have a link?

[@minimedlessons]

Hello! This particular product is a SurgiReal skin pad. surgireal.com/

[@samryon3615]

You can buy the entire kit with everything except the lidocaine...i cant find any info on how to obtain that.

[@brentdavis9801]

​@@samryon3615I am looking for the same stuff I live out in the country and I am pretty far from a hospital and could fix some stuff by myself without having to make a 45-minute trip if you ever find out where to get it please let me know

[@agyapongmaapriscilla1789]

That was very educative.

[@mariyamnadeem9202]

What if the needle goes through the vein to reach the end, and when you pull, there's no blood. But won't some of the lidocaine still be injected in the vein whilst pulling it back? I don't know if I was articulate enough.. I meant the big vessel is just where you enter your needle, you go all the way through.. But since you get no blood, you still inject it.

[@wholeNwon]

The amount of lidocaine is so small that accidental IV injection isn't an issue.

[@carrieunrein2060]

Where do I get the injectable lidocaine? How can I get the medication?

[@samryon3615]

Thats what i came here to find out.

[@brentdavis9801]

There has to be someplace to get it if anyone ever finds out where please let me know the only place I can think of is maybe Mexico you can seem to get anything there

[@conan2566]

Great lesson thank you

[@TH-qv6ef]

Do you need to do both sides of the lac?

[@minimedlessons]

Yes, both sides.

[@derekfoulk4692]

As a hobby I've been doing self surgeries and this video is very helpful, I just wish they made this medication easier to obtain. Word of caution healthcare in the US is ending due to high cost and so if you are doctor expect to be out of a job soon.

[@vettechgeekgirl3559]

OhhhKaaaay Derek.

[@terriecosby7293]

bwahaha. Thats funny. See you in our ICU when you are septic from your "self surgery hobby".

[@WeirdGirl93]

It is not hard to obtain from overseas.

[@jonaben5714]

will this work with 1% Lidocainhydrochlorid, is it strong enough? Lidocainhydrochlorid

[@dr.kaliprasadmishra]

thanks from india 🇮🇳

[@alishoja3289]

Very useful, thanks

[@flatcarwillie]

Is it less painful for the patient to come outside the wound?

[@wholeNwon]

No, just the opposite.

[@philippinecharity7212]

Nurse here..... If you still believe the wound is contaminated..... (stuff in there....) then why close? If an infection comes later and the wound needs to be reopened, usually by someone else, and debris is noted, there is no real defense. 'You' failed to 'properly and thoroughly' clean the wound prior to closure.

[@minimedlessons]

Hi, thanks for watching! Of course, cleaning a laceration before closure is extremely important. However, this video is simply about anesthetizing the wound, nothing more. Providing anesthesia prior to thorough irrigation and removal of debris is the humane, ethical way to do it as cleaning a wound properly is incredibly painful without anesthesia first. When closing a laceration, the steps could be summarized simply as 1) Inject lidocaine for anesthesia, 2) thoroughly clean and irrigate the wound, ensuring all visible debris is removed, and 3) close the wound. This video was about that first step, that's all. Thanks.

[@terriecosby7293]

Its a video sister. Its not like he's closing an animal bite in a real setting. its just an example. Relax

[@wholeNwon]

@@minimedlessons Actually just irrigating the wound with plain lido. before cleaning is humane and greatly reduces the discomfort involved in both irrigating and manipulating the area.

[@azro7717]

What is the max dose of lidocaine that I can injecte ?

[@agro5687]

Is it possible for a lac, that is small enough,, to start at one end (on the outside of the wound) and advance all the way to the other end straight and inject the lidocaine as you pull out instead of the fanning motion done here? i.e inject in two straight lines parallel to the lac rather than starting in the middle and fanning out?

[@rileyeveritt9934]

im not a dr, but ive seen quite a few videos where they do exactly what you just described. so i would say yes you can

[@wholeNwon]

Of course.

[@becky2235]

Why is lidocaine mixed with ephinerphine?

[@daze4341]

I was wondering that as well

[@lexiebrauer5266]

To reduce bleeding

[@drrajat4659]

Amazing 👌😍

[@minimedlessons]

Thank you! Cheers!

[@konicakhanom1737]

How can I push on nurvd ???

[@sagunshrestha1943]

Accidental IV injection might be lethal because Arrythmia is caused by the preservative in the solution. Methyl paraben is what we get in my part of the world.

[@ideallyjekyl5200]

You sound like a mix of casually explained and technoblade

[@eliakimsando2919]

Does ligdocaine work on dirty wounds

[@erumfatima7301]

Good point to aspirate first

[@SovereignSmurf]

I was half expecting the lacerations to heal

[@jameswan3820]

very nice

[@sowdaabdi1240]

U helped me thnkz😙

[@paulastafford1642]

Thank you

[@ChickentNug]

This looks like it would be more painful than the suture itself haha

[@okbot5538]

It is painful I got 4 shots on the bottom of my foot

[@wem-c9f]

25, 27 gauge? That’s quite big isnt it?

[@minimedlessons]

No, it’s actually quite small. Remember, as the number gets bigger, the size gets smaller. So 27 gauge is smaller than 18 gauge, for example.

[@wem-c9f]

@@minimedlessons yes I get that. I thought a 30 or 31G may be better 😁

[@wazzupypypy6915]

push 1 of epi😭 greys anatomy 😭😭

[@mhsulistyo5473]

Mantap

[@Carribean_gurl]

I'm scared I hate stitches

[@user-si2wi4sk2u]

I wanna do this to remove a mole at home it’s a small mole so I don’t know how much to use

[@minimedlessons]

I strongly advise against this. Moles should never be removed at home.

[@brentdavis9801]

Where did you get the lidocaine from?

[@ThePerpetualStudent]

Patient currently screaming

[@heathr6995]

What does the epinephrine do with the lidocaine

[@125vinaykumarsd7]

Vasoconstriction of blood vessels increases the time lidocaine acts.

[@M7mdsafar94]

@@125vinaykumarsd7 and causes vasoconstriction to contract the effect of vasodilation of lidocaine

[@Justin-mu5lh]

:/ Lol

[@harishsehgal3114]

Lol👍👍

[@omyadav6017]

Good info thx

[@joeblow9295]

can your incision grow over the stitches after there was some swelling the first 3 days after the surgery? what will the Dr have to do if that happens to remove the sutures?