Local Anesthetic Dosing Calculator

The Local Anesthetic Dosing Calculator is a clinical tool designed to determine the maximum safe dose of local anesthetics based on drug concentration and patient body weight. It assists healthcare providers during procedures requiring higher anesthetic doses, such as large laceration repairs and intradermal injections. By calculating individualized maximum dosages, the calculator supports safe administration practices and helps prevent toxicity and adverse events, including local anesthetic systemic toxicity (LAST). In addition, this tool outlines the characteristics of LAST, how to minimize LAST, and provides evidence-based management steps to guide providers in the event of this adverse reaction.

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Publication Details

Journal
Evidence to Action Official Journal of MDCalc
Published
2026-04-10
DOI
https://doi.org/10.65357/001c.160347
Primary Topic
Anesthesia and Pain Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Local Anesthetic Dosing Calculator

William Caputo, Nicole Spence, John Paolo Palad
Evidence to Action Official Journal of MDCalc
Anesthesia and Pain Management
article

Local Anesthetic Dosing Calculator

William Caputo, Nicole Spence, John Paolo Palad
article en

Abstract

The Local Anesthetic Dosing Calculator is a clinical tool designed to determine the maximum safe dose of local anesthetics based on drug concentration and patient body weight. It assists healthcare providers during procedures requiring higher anesthetic doses, such as large laceration repairs and intradermal injections. By calculating individualized maximum dosages, the calculator supports safe administration practices and helps prevent toxicity and adverse events, including local anesthetic systemic toxicity (LAST). In addition, this tool outlines the characteristics of LAST, how to minimize LAST, and provides evidence-based management steps to guide providers in the event of this adverse reaction.

Evidence to Action Official Journal of MDCalcVol. 022026(01)
Boston University (US), Staten Island University Hospital (US)
Good health and well-being
Openalex Percentile: Top 10%
Anesthesia and Pain Management
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