Local anesthesia prevents pain during medical procedures by numbing a specific part of the body. Its effects are short-lived, so healthcare teams primarily use it for minor outpatient procedures.
Anesthetists or doctors only apply local anesthetic to the part of the body that the medical procedure involves.
People may also receive sedative drugs, which reduce stress levels and promote calmness. Together, anesthesia and sedation enable the doctor or surgeon to carry out the procedure without causing pain or distress.
In cases where surgeons need to perform more invasive or long lasting procedures, anesthetists will typically administer a regional or general anesthetic instead.
Healthcare professionals will consider several factors when determining whether to use local, regional, or general anesthesia. Local anesthesia is generally suitable in the following situations:
- The procedure is minor and does not require general or regional anesthesia.
- The procedure is quite quick, and the person will not need to stay overnight.
- There is no need for the muscles to be relaxed or the person to be unconscious.
Examples include dental surgery, biopsies, and the removal of a verruca, mole, or cataract.
The type and dose of anesthesia will depend on many factors. These include the person’s age, weight, allergies, and medical conditions, as well as the site and aim of the procedure.
Healthcare professionals use various drugs to block the pain, which they can deliver in the form of an injection or a spray or ointment.
The drug works by acting on certain nerve pathways to prevent the nerves in the area of application from sending signals to the brain.
It usually takes a few minutes for the drug to take effect, and it wears off after a few hours. A higher dose will last for longer.
Cocaine was the first anesthetic, but its use is now rare. Lidocaine is the most widely used local anesthetic, but doctors and anesthetists use different drugs for different purposes.
For longer procedures, bupivacaine is
Synthetic anesthetics are similar in structure to cocaine, but they do not have the same potential for abuse.
If a person is going to undergo surgery or another procedure that involves a local anesthetic, the doctor should explain beforehand how to prepare.
The individual should inform the doctor if they are using any medications, especially if these include blood-thinning agents, such as aspirin or warfarin.
The doctor may instruct the person to refrain from eating during the few hours before surgery. It is also important not to drink any alcohol for 24 hours before receiving the anesthetic.
A person will often receive local anesthesia in the doctor’s office. Shortly after the doctor applies a local anesthetic agent to the relevant area of the body, it will begin to feel numb.
The doctor will not proceed with the procedure if the person does not feel the numbing effect. The anesthetic will prevent the person from experiencing pain during the procedure, but they may still feel pressure.
Depending on the type of procedure and how anxious the person feels, the doctor may also give them a sedative. This medication will help the individual feel calm and less anxious.
The doctor will often place a small device on the person’s finger so that they can monitor the amount of oxygen in the blood. In rare cases, they may use a plastic nasal tube to provide extra oxygen.
Healthcare professionals generally consider local anesthesia to be very safe. For minor surgery, it is safer than general anesthesia.
There may be some tingling and pain during the administration of the drug and when it is wearing off, and a person may notice some bruising, but these effects are usually minor.
A person who has had a local anesthetic should be careful not to injure themselves while they cannot feel pain — for example, by biting their cheek after dental treatment.
Temporary adverse effects that affect some people include:
- blurred vision, dizziness, and vomiting
- muscle twitching
- continuing numbness, weakness, or tingling
Some people may have an allergic reaction and develop hives, itching, and breathing difficulties.
Cyanosis, in which the skin becomes bluish due to poor circulation or inadequate oxygenation of the blood, can sometimes occur.
In very care cases, the person may experience central nervous system (CNS) depression, in which the body’s neurological functions slow down too much, leading to a decreased heart rate and breathing rate. This state can lead to cardiac arrest if the blood stops pumping to the heart.
An overdose of local anesthetic
Healthcare professionals can also use local anesthesia when diagnosing some chronic conditions and to relieve pain after an operation.
An older study from 2010 found that local anesthetics eased some symptoms of inflammatory bowel disease in rats. However, more research is necessary to confirm whether the drugs have this effect in humans.
Local anesthesia prevents pain during minor medical procedures by numbing a specific part of the body. However, a person may still feel some pressure.
Anyone administering any type of anesthesia must have received appropriate training and have the necessary qualifications.