Bupivicaine re-dosing

[agammaglobulin]

Today during a long case with multiple incision sites and grafts, I had a surgeon asking me after reaching patients max local Bupivicaine dose, how long until we could 're-dose' the local anesthetic. I think it's similar to a Epidural or PNC where we wait around 3 or 4 hours before redosing (half life of bupi), so my guess would be you could get another 1/2 their allowed dose at that time. Thoughts?

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