An Evaluation of the Approach of Orthopaedic Surgeons to Local Anaesthetic Toxicity

Abstract

Aim: To review the knowledge of orthopaedic surgeons related to the diagnosis, treatment and prevention of local anaesthetic systemic toxicity (LAST) and to raise awareness related to this subject. Material and Method: A 16-item questionnaire was applied to orthopaedic surgeons of different academic levels in different hospitals in Turkey. The items sought to identify demographic information, general knowledge related to local anaesthetic drugs, general knowledge related to toxicity and current treatment options. Results: The study included a total of 172 orthopaedic surgeons in Turkey, of which 18.6% were orthopaedic residents, 51.7% orthopaedic and traumatology specialists, and 29.7% faculty members. Tenure in the orthopaedic area was determined to be >10 years in 45.3% of the participants. Local anaesthetic was seen to be used most in the operating theatre, followed by the Emergency Department, polyclinic intervention rooms, and on the wards. Of the total participants, 59.6% stated that they had never heard of the use of lipids in the treatment of LAST, 29.8% had heard of it but did not use it and 5.3% knew about the manner and area of use of lipid treatments. Conclusion: Awareness of physicians about LAST and preparedness for complications can ensure safer use of these local anaesthetics.

Keywords

• local anaesthetic systemic toxicity
• intravenous lipid solution
• orthopaedic surgery
• lokal anestezi toksisite sendromu
• i̇ntravenöz lipid solüsyonu
• ortopedik cerrahi