OR Playbook
Step 17 · Pharmacology

Antibiotics & Local Anesthetics

Pre-op antibiotic timing and the local anesthetics — with their toxic doses.

6 min read

The TL;DR

  • Surgeons order pre-op antibiotics; the anesthesia team gives them — ideally in the patient within 30 min before incision.
  • Give vancomycin and gentamicin slowly (red-man syndrome; ototoxicity).
  • Local anesthetics block sodium channels; each has a maximum (toxic) dose — adding epinephrine raises the ceiling.
  • Local anesthetic toxicity (LAST) shows up as CNS signs then cardiovascular collapse.
  • Lidocaine max ~4.5 mg/kg plain (7 with epi); bupivacaine ~2.5 (3 with epi); ropivacaine ~2.5–3.

01Pre-op antibiotics

The surgeon orders them; the anesthesia team usually gives them. For the best reduction in surgical-site infection, the antibiotic should be in the patient ~30 minutes before incision (in peds, where the IV often goes in after induction, give it as soon as the IV is in). Some give a small test dose first and watch the anterior chest for histamine release (redness/urticaria).

AntibioticAdult dosePedsNote
Cefazolin (Ancef)1–2 g IV25 mg/kgMost common surgical prophylaxis
Ampicillin1–2 g IV25 mg/kg
Clindamycin600 mg10 mg/kg
Gentamicin120 mg (÷ q6h)1.5 mg/kgGive slowly — ototoxicity / tinnitus
Metronidazole (Flagyl)500 mg q8h30 mg/kg/day
Vancomycin1 g IV10 mg/kgGive slowly — "red-man" (histamine)
Common mistakes
  • Pushing vancomycin fast → red-man syndrome (flushing, hypotension).

02Local anesthetics

Locals block sodium channels to stop nerve transmission. They're used constantly and safely, but each has a toxic dose — and local anesthetic systemic toxicity (LAST) presents first as CNS signs (perioral numbness, tinnitus, metallic taste, seizures) then cardiovascular collapse.

LocalMax (plain)Max (with epi)Onset
Lidocaine4.5 mg/kg7 mg/kg5–15 min
Bupivacaine2.5 mg/kg3 mg/kg5–15 min
Ropivacaine2.5 mg/kg2.5–3 mg/kg10–20 min

Adding epinephrine causes local vasoconstriction, which slows absorption — raising the safe maximum and prolonging the block. If you ever dilute locals (e.g., for a block), use preservative-free solutions near nerves.

Pearls
  • Always know the patient's weight and the max dose before locals are injected — toxicity is dose-dependent.

Concepts adapted for AnesthesiaHub from “Anesthesia Made Easy” (Jeff Steiner, DO, MBA) and standard anesthesia references, re-expressed in this site's own words. Educational use only — always verify doses against primary sources and your institution's protocols.