Anesthesia · single question

What is the buffering agent commonly added to local anesthetic to speed onset and reduce injection discomfort?

  1. Sodium bicarbonate
  2. Sodium bisulfate
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Correct answer: A. Sodium bicarbonate

Sodium bicarbonate is used to buffer (alkalinize) local anesthetic solutions, which increases the proportion of anesthetic in its uncharged (base) form — speeding the onset of anesthesia and reducing the burning/stinging sensation typically caused by the acidic pH of standard LA formulations (especially those with vasoconstrictor, which are manufactured at a lower pH for stability).

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