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Chapter 54 - Local Anesthetic Systemic Toxicity (LAST)

Published online by Cambridge University Press:  30 November 2019

By
Arvind Chandrakantan  and
Aysha Hasan
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter reviews the thankfully rare but critical topic of local anesthetic systemic toxicity in children. The authors discuss the incidence, presentation and differential diagnosis related to local anesthetic toxicity. The chapter discusses the prevention and treatment of local anesthetic toxicity which is crucial knowledge for providers performing regional anesthesia in children.

Keywords

Rectus sheath blockIlioinguinal blockIliohypogastric blockParavertebral blockQuadratus lumborum blockErector spinae block
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 246 - 248
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Neal, JM, Bernards, CM, Butterworth, JF 4th, et al. ASRA practice advisory on local anesthetic systemic toxicity. Reg Anesth Pain Med. 2010;35(2):152–61. PMID: 20216033.CrossRefGoogle ScholarPubMed
Weinberg, GL. Lipid emulsion infusion: resuscitation for local anesthetic and other drug overdose. Anesthesiology. 2012;117:180–7. PMID: 22627464.CrossRefGoogle ScholarPubMed
Weinberg, GL. Treatment of local anesthetic systemic toxicity (LAST). Reg Anesth Pain Med. 2010;35:188–93. PMID: 20216036.CrossRefGoogle ScholarPubMed

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