How is local anesthetic toxicity managed?

Updated: Jan 09, 2019
  • Author: Raffi Kapitanyan, MD; Chief Editor: David Vearrier, MD, MPH  more...
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Answer

Attention to impending airway compromise, significant hypotension, dysrhythmias, and seizures takes precedence. Once other possible etiologies of the patient's new symptoms have been excluded, management of the specific symptoms can begin.

Treatment of local anesthetic toxicity may include the following [2] :

  • Airway management

  • Seizure suppression (benzodiazepines preferred)

  • Management of cardiac dysrhythmias

  • Lipid emulsion therapy

See Treatment and Medication for more detail.


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