Local Anesthetic Systemic Toxicity in Total Joint Arthroplasty
نویسندگان
چکیده
منابع مشابه
Local 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 کاملTotal local anesthetic administered is integral to the syndrome of local anesthetic systemic toxicity.
propofol. We have subset the original dataset to the 2,210 patients who received one of those regimens and report a regression-based analysis as well as a propensity-matching analysis. Table 3 shows the comparison between regimens midazolam plus etomidate and midazolam plus propofol among the subset of patients who received one of the regimens using the suggested propensity-matching approach an...
متن کاملLipid Emulsion for Local Anesthetic Systemic Toxicity
The accidental overdose of local anesthetics may prove fatal. The commonly used amide local anesthetics have varying adverse effects on the myocardium, and beyond a certain dose all are capable of causing death. Local anesthetics are the most frequently used drugs amongst anesthetists and although uncommon, local anaesthetic systemic toxicity accounts for a high proportion of mortality, with lo...
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...
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ژورنال
عنوان ژورنال: Regional Anesthesia and Pain Medicine
سال: 2017
ISSN: 1098-7339
DOI: 10.1097/aap.0000000000000684