A member asked:

What local anesthetic agent/medicine is safest for long qt heart patient? neck (thyroid) biopsy coming up, local anesth. will need to be used.

A doctor has provided 1 answer
Dr. Ira Friedlander answered

Specializes in Cardiac Electrophysiology

Lidocaine should be: fine in the very small amount utilized. If absolutely necessary Lidocaine with Epinephrine could be utilized but is probably unnecessary. If you are extremely worried it could probably be done nearly painlessly with a skinny needle and no anesthetic. Your own anxiety and intrinsic catecholamine release is probably of greater risk than anything else. Mild sedation might be in order.

Answered 12/6/2015

1.9k views

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