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164 In the second study, patients were randomly allocated to receive either 10 mL lidocaine solution (10 mL2% lidocaine, 3 mL 8.4% sodium bicarbonate, 2 mL pH 7.2 sterile water) or 15 mL heparin-lidocaine combined (50,000 units heparin, 200 mg lidocaine hydrochloride) and followed for 24 hours