Core EM - Emergency Medicine Podcast
Episode 95.0 – Local Anesthetic Systemic Toxicity (LAST)
This week we discuss the identification, prevention and treatment of local anesthetic systemic toxicity.
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_95_0_Final_Cut.m4a
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Tags: Antidote, Bupivicaine, Intralipid, Lidocaine, Toxicology
Show Notes
LITFL: Local Anesthetic Toxicity
Wiki EM: Local Anesthetic Systemic Toxicity
References:
Schwartz DR, Kaufman B. Local Anesthetics. In: Hoffman RS, Howland M, Lewin NA, Nelson LS, Goldfrank LR. eds. Goldfrank's Toxicologic Emergencies, 10e New York, NY: McGraw-Hill; 2015. Link
Neal JM et al, American Society of Regional Anesthesia and Pain Medicine. American Society of Regional Anesthesia and Pain Medicine checklist for managing local anesthetic systemic toxicity: 2012 version. Reg Anesth Pain Med 2012;37:16–8. PMID: 22189574
Cao D et al. Intravenous lipid emulsion in the emergency department: a systematic review. J Emerg Med 2015; 48(3): 387-97. PMID: 25534900
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