Answer and Explanation 12

12.  Choice C is the correct answer.  The patient has already received a toxic dose of lidocaine.  It is recommended that only 4.5 mg/kg be use of lidocaine without epinephrine and 7 mg/kg for lidocaine with epinephrine.  For a 70 kg individual this comes out to 28 mL for 1% 14 mL for 2% lidocaine without epinephrine.  So choice A is incorrect.  Children should not be sutured that do not have adequate anesthesia.  This just adds additional trauma to the situation.  This is not a situation for wounds to heal by secondary intention.  Therefore choice C taking the patient to the operating room for closure under general anesthesia is the best option.