Local anesthetic systemic toxicity: current perspectives

K El-Boghdadly, A Pawa, KJ Chin - Local and regional anesthesia, 2018 - Taylor & Francis
Local anesthetic systemic toxicity (LAST) is a life-threatening adverse event that may occur
after the administration of local anesthetic drugs through a variety of routes. Increasing use …

The third American Society of Regional Anesthesia and Pain Medicine practice advisory on local anesthetic systemic toxicity: executive summary 2017

JM Neal, MJ Barrington, MR Fettiplace… - Regional Anesthesia & …, 2018 - rapm.bmj.com
Abstract The American Society of Regional Anesthesia and Pain Medicine's Third Practice
Advisory on local anesthetic systemic toxicity is an interim update from its 2010 advisory …

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 …

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 …

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 …

[HTML][HTML] Lipid emulsion to treat acute poisonings: mechanisms of action, indications, and controversies

K Jaffal, L Chevillard, B Mégarbane - Pharmaceutics, 2023 - mdpi.com
Biodetoxification using intravenous lipid emulsion (ILE) in acute poisoning is of growing
interest. As well as for local anesthetics, ILE is currently used to reverse toxicity caused by a …