Table 1. Anesthetic agents and maximum recommended doses[14]

Anesthetic Agent  Maximum Anesthetic per Dose
Lidocaine 

4.5 mg/kg 

(not to exceed 300 mg total)

Lidocaine + Epinephrine

7 mg/kg 

(not to exceed 500 mg total)

Bupivacaine

2.5 mg/kg 

(not to exceed 175 mg per dose, with a maximum 24-hour dose of 400 mg)

Bupivacaine + Epinephrine

3 mg/kg 

(not to exceed 225 mg per dose, with a maximum 24-hour dose of 400 mg) 

From: Local and Regional Anesthesia in Ophthalmology and Ocular Trauma

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