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...

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Bibliographic Details
Published in:AORN journal 2017-11, Vol.106 (5), p.367-377
Main Author: Wadlund, Diana L.
Format: Article
Language:English
Subjects:
amino amides
amino esters
Anesthesia
anesthetic complications
Anesthetics, Local - adverse effects
Anesthetics, Local - chemistry
Anesthetics, Local - history
Anesthetics, Local - pharmacokinetics
History, 19th Century
History, 20th Century
History, 21st Century
Humans
Local anesthesia
local anesthetic
local anesthetic systemic toxicity
Medical-surgical nursing
Nursing
Perioperative Nursing
Side effects
Surgical outcomes
Toxicity
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Description
Summary: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 injection or overdose of local anesthetics is a rare but potentially fatal complication that occurs in less than 1 in 1,000 patients. This article provides the perioperative nurse with information about local anesthetics, the signs and symptoms of local anesthetic systemic toxicity, and the information needed to manage a patient experiencing this complication.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2017.08.015