부산대학교 도서관

Upon review of the literature, we found it to be concerning that there was minimal literature regarding the resuscitation from local anesthetic systemic toxicity in an ambulatory care setting. On a daily basis surgeons and physicians (MD, DO, DPM, DDS, DMD) administer local anesthetic and should be aware of the checklists and steps to resuscitate a patient that may have toxicity. There have been major developments with administrating 20% lipid emulsion to reverse the toxicity one may have from local anesthetics. It is strongly recommended that physicians be BCLS and ACLS certified, perform a good physical diagnosis, and have lipid emulsion therapy readily available in every clinical/hospital/ambulatory surgical setting. In this journal review article, we have provided checklists/ steps to follow in case a patient has signs and symptoms of local anesthetic systemic toxicity. The majority of local anesthetic toxicities do occur with upper extremity and neuraxial blockade however there is still a reduced risk of lower extremity local anesthetic systematic toxicity. [ABSTRACT FROM AUTHOR]