Updates in our understanding of local anaesthetic systemic toxicity: a narrative review

AJR Macfarlane, M Gitman, KJ Bornstein… - …, 2021 - Wiley Online Library
Despite advances in clinical practice, local anaesthetic systemic toxicity continues to occur
with the therapeutic use of local anaesthesia. Patterns of presentation have evolved over …

Lipid emulsion infusion: resuscitation for local anesthetic and other drug overdose

GL Weinberg, B Riou - The Journal of the American Society of …, 2012 - pubs.asahq.org
Background Weinberg et al. 1 first showed in 1998 that an infusion of a soybean oil
emulsion normally used as a total parenteral nutrition solution could prevent (by …

Local anesthetic systemic toxicity: a narrative review for emergency clinicians

B Long, S Chavez, M Gottlieb, T Montrief… - The American journal of …, 2022 - Elsevier
Introduction Emergency clinicians utilize local anesthetics for a variety of procedures in the
emergency department (ED) setting. Local anesthetic systemic toxicity (LAST) is a potentially …

The mechanisms underlying lipid resuscitation therapy

MR Fettiplace, G Weinberg - Regional Anesthesia & Pain Medicine, 2018 - rapm.bmj.com
The experimental use of lipid emulsion for local anesthetic toxicity was originally identified in
1998. It was then translated to clinical practice in 2006 and expanded to drugs other than …

[HTML][HTML] Lipid emulsion for treating local anesthetic systemic toxicity

SH Ok, JM Hong, SH Lee, JT Sohn - International journal of …, 2018 - ncbi.nlm.nih.gov
Lipid emulsion has been shown to be an effective treatment for systemic toxicity induced by
local anesthetics, which is reflected in case reports. A systemic review and meta-analysis …

[HTML][HTML] Mechanisms underlying lipid emulsion resuscitation for drug toxicity: a narrative review

SH Lee, JT Sohn - Korean Journal of Anesthesiology, 2023 - synapse.koreamed.org
Currently, lipid emulsion (LE) is widely used to treat local anesthetic systemic toxicity (LAST).
LE also ameliorates intractable cardiovascular collapse caused by lipid-soluble non-local …

Rapid cardiotonic effects of lipid emulsion infusion

MR Fettiplace, R Ripper, K Lis, B Lin, J Lang… - Critical care …, 2013 - journals.lww.com
Objectives: Bolus infusion of lipid emulsion can reverse cardiac pharmacotoxicity caused by
local anesthetics and other lipophilic drugs. The mechanisms of this effect are not …

Multi-modal contributions to detoxification of acute pharmacotoxicity by a triglyceride micro-emulsion

MR Fettiplace, K Lis, R Ripper, K Kowal… - Journal of Controlled …, 2015 - Elsevier
Triglyceride micro-emulsions such as Intralipid® have been used to reverse cardiac toxicity
induced by a number of drugs but reservations about their broad-spectrum applicability …

Local anaesthetic systemic toxicity

LE Christie, J Picard, GL Weinberg - Bja Education, 2015 - academic.oup.com
Well-placed local anaesthetics (LAs) can yield great clinical benefits. But systemic toxicity
related to their use can be devastating. The highly publicized case in 2004 of Mayra …

Mechanisms and efficacy of intravenous lipid emulsion treatment for systemic toxicity from local anesthetics

Y Liu, J Zhang, P Yu, J Niu, S Yu - Frontiers in Medicine, 2021 - frontiersin.org
Local anesthetics are widely used clinically for perioperative analgesia to achieve comfort in
medical treatment. However, when the concentration of local anesthetics in the blood …