How to make 10 mL of 1:100,000 epinephrine (without lidocaine)

This is used by Dr. Lansford for vasoconstriction near critical nerves, such as thyroidectomy, parathyroidectomy, and parotidectomy.

 

Supplies:

  1. 10 mL syringe

  2. TB syringe

  3. injectable saline (at least 10 mL)

  4. 18 gauge needle

  5. 27 gauge needle, 1.5” long

  6. Adrenaline (epinephrine): 30 mg/30 mL bottle or 1 mg/1mL vial (this concentration is equal to 1:1000 epinephrine)

Steps:

  1. Draw up 9.9 mL of injectable saline in the 10 mL syringe




2. Draw up 0.1 mL of 1:1000 epinephrine in the TB syringe.

3. Add the 0.1 mL of 1:1000 epinephrine to the 10 mL syringe

4. Use a bubble in the 10 mL syringe to mix the solution, tilting the syringe up and down

5. Fasten a 27 gauge 1.5” needle on the syringe for injection