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SafeLocal
For safe dosing calculations
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Description

SafeLocal is an application developed by Johns Hopkins that makes calculating safe dosages of local anesthetic quick and easy for anesthesiologists, surgeons, and other medical providers. It seamlessly incorporates patient weight, disease processes, mixtures of local anesthetic, and presence or absence of additives, to calculate the maximum safe dose of local anesthetic without the hassle of going through the calculations by hand, all while tracking how much of the maximum safe dose has been used up and how much is left over for safe administration.

FEATURES:
● Dosage calculator for local anesthetics, including complex mixtures and non-standard concentrations.
● Adjusts maximum safe dose by patient weight (lbs or kg).
● Choice between anesthesia with or without epinephrine.
● Option to add comorbidities such as extremes of age, severe renal dysfunction, hepatic dysfunction, or advanced heart failure, with automatic adjustment of maximum safe dose.
● Ability to calculate remaining safe dose of anesthesia for anesthesiologist or surgeon to administer based on how much has already been administered.

Calculations based on Chapter 36 (Local Anesthesia) of Miller’s Anesthesia, 8th Edition. Adjustment for comorbidities based on the 2004 publication “Maximum Recommended Doses of Local Anesthetics: A Multifactorial Concept” by Rosenberg et al.

The information provided by the application is based on expert opinion. It is to be used as a recommendation only. Clinical judgment by a physician is required in every situation. The user assumes all responsibility for decisions made with the information provided by this app.

Project produced at the Johns Hopkins University School of Medicine by Jonathan D. Lin, M.D. and Jean-Pierre P. Ouanes, D.O. Funded generously by the Johns Hopkins Bayview Patient Safety Pyramid Grant Program.

Adapted from the 2017 version of the American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity. Source: Neal JM, Woodward CM, Harrison TK. The American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity: 2017 Version. Reg Anesth Pain Med. 2018 Feb;43(2):150-153.
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User Rating

3.83 out of 5

36 ratings in United States

5 star
20
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1 star
4

Ratings History

Reviews

Incorrect Mixed Dose Calculations

rkakes on

The app is great in theory, but when you are mixing locals the max should be additive, which is not the way it shows up when you select 2 different locals. For example, in a 70kg pt your max of 0.5% bupiv is 35cc, and with 1% Lido your max is also 35cc, but when using both, your MAX is still 35cc. The app gives the impression that you can give 70cc when using this combo (stating 35cc each), which is not correct.

Update to support dark mode

Carly E.. on

Please support dark mode in iOS. When the phone is in dark mode, all the clickable text and entered text appears white on a white background (I.e invisible).

Doesn't work on iPhone dark display setting

Amyyyyy9877 on

Type disappears in iPhone "dark" display setting- unusable. Works fine in "light" display. Otherwise a great app

Change the color of the text!

oscKB on

Text is in white, making it very difficult to read. Otherwise, this is a fantastic resource. Please fix above immediately!!

Text in white...

Chelle013190 on

Text is in white unable to see what I’m typing. Please fix! Hoping this will be a great tool for school!

Unable to view text

aneslover on

Text is in white so you can see what you are inputting Difficult to use because of this

dark mode broken

Anonymous777838:7:747 on

latest update makes disappear in dark mode. otherwise 5 stars

Exparel

sumo75 on

Great app!! Please add exparel!!

Exparel?

wrhmd on

Can you add exparel?

Great app. Pleas include mg totals

Stealthmonkey on

Excellent app. Mg totals please

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Category Rankings

Chart
Category
Rank
Top Free
Pakistan Medical
137
Top Free
Canada Medical
243
Top Free
Denmark Medical
494

Keywords

johns hopkins, safelocal

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App Info

Category
Medical
Publisher
The Johns Hopkins University
Languages
English
Recent version
1.05 (4 years ago )
Released on
Dec 13, 2018 (5 years ago )
Also available in
United States, Philippines, Australia, Ireland, Finland, Canada, Mexico, Peru, New Zealand, Norway, Netherlands, Nigeria, Malaysia, Poland, Lebanon, Kazakhstan, Kuwait, South Korea, Pakistan, India, Portugal, Romania, Russia, Saudi Arabia, Sweden, Singapore, Thailand, Turkey, Taiwan, Ukraine, Vietnam, South Africa, Dominican Republic, Argentina, Austria, Azerbaijan, Belgium, Brazil, Belarus, Switzerland, Chile, China, Colombia, Czechia, Germany, Denmark, Japan, Algeria, Ecuador, Egypt, Spain, France, United Kingdom, Greece, Hong Kong, Hungary, Indonesia, Israel, United Arab Emirates, Italy
Last updated
1 month ago
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