Systemic toxisity of local anesthethics during regional anesthesia in orthopedics and traumatology

Abstract

There are cases of accidental intravascular injection of local anesthetic when performing regional anesthesia. The frequency of this complication was 0.28 per 1,000. We describe the clinical manifestations and the basic principles of the treatment of local anesthetics systemic toxicity. Discussed in detail the mechanism of action of fat emulsion and the protocol of lipid resuscitation Accidental intravascular injection of local anesthetics. The mechanism of action of fat emulsion and the protocol of lipidrescue accidental intravascular injection of local anesthetics was discussed.

Keywords

• системная токсичность местных анестетиков
• липидные эмульсии
• липидная реанимация
• systemic toxicity of local anesthetics
• lipid emulsion
• lipid rescue