Closed Claims Case Review Case 2023-8: Making Sense of Local Anesthetic Systemic Toxicity
نویسندگان
چکیده
Article| August 2023 Closed Claims Case Review 2023-8: Making Sense of Local Anesthetic Systemic Toxicity ASA Monitor 2023, Vol. 87, 33–34. https://doi.org/10.1097/01.ASM.0000949616.89467.de Views Icon Article contents Figures & tables Video Audio Supplementary Data Peer Share Facebook Twitter LinkedIn Email Cite Get Permissions Search Site Citation Toxicity. 2023; 87:33–34 doi: Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Dropdown Menu input auto suggest filter your All ContentAll PublicationsASA Advanced Topics: local anesthetic agent overdose A 30-year-old male BMI 31 kg/m2 weighing 95 kg with no history cardiopulmonary disease received a preoperative interscalene block followed by general endotracheal at an ambulatory surgical facility for arthroscopic subacromial decompression and labral repair. The was placed uneventfully ultrasound guidance 30 mLs 0.5% ropivacaine 10 minutes before entering the OR. induction maintenance anesthesia uneventful, normal sinus rhythm in 70s blood pressure range 120-140/70-80 without need pressor support. At end procedure, 85 after placed, bupivacaine 0.25% injected portals shoulder joint team. Twenty arriving PACU, patient restless anxious, describing feeling impending doom. He given standard doses morphine, labetalol, albuterol... You do not currently have access to this content.
منابع مشابه
Local anesthetic toxicity: review and case studies.
One of the very real complications possible in the use of local anesthetic agents is a relative overdose of the drug, resulting in an inordinate and potentially dangerous serum level. Even when using strict and careful technique, problems can occur. The reactions cited in the aforementioned cases were most likely the result of the accidental intravenous injection of a local anesthetic agent. Tw...
متن کاملLocal Anesthetic Systemic Toxicity.
Local anesthetics are commonly used in the perioperative environment to facilitate surgical procedures or to provide postoperative pain management for patients. The use of local anesthetics, however, introduces the risk of complications resulting from local anesthetic systemic toxicity and the risks of increased morbidity and mortality for the surgical patient. Systemic toxicity from the inject...
متن کاملLocal anesthetic systemic toxicity.
Local anesthetic systemic toxicity (LAST) is a rare yet devastating complication from the administration of local anesthesia. The ability to recognize and treat LAST is critical for clinicians who administer these drugs. The authors reviewed the literature on the mechanism, treatment, and prevention of LAST, with the goal of proposing a practical method for its management.
متن کاملTreatment of local anesthetic systemic toxicity (LAST).
Severe, systemic local anesthetic toxicity is arguably the most feared complication of regional anesthesia. A combination of old and new therapies is recommended to reduce the morbidity and mortality of symptomatic local anesthetic overdose. Prevention remains the criterion standard for improving patient safety during regional anesthesia. However, when local anesthetic toxicity occurs, consider...
متن کاملPrevention of local anesthetic systemic toxicity
Although new drugs and techniques may improve outcomes when unintended high blood levels of local anesthetics occur, the primary focus of daily practice should remain the prevention of such events. Although adoption of no single "safety step" will reliably prevent systemic toxicity, the combination of several procedures seems to have reduced the frequency of systemic toxicity since 1981. These ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: ASA monitor
سال: 2023
ISSN: ['2380-4017', '2380-4025']
DOI: https://doi.org/10.1097/01.asm.0000949616.89467.de