Disputed issues of systemic toxicity of local anesthetics
https://doi.org/10.21292/2078-5658-2020-16-1-46-51
Abstract
Objective: assessment of the "systemic toxicity of local anesthetics,” term validity, and a legal appraisal of the term “lipid resuscitation.” Regulatory documents and specialized literature devoted to the terminology of toxicity of local anesthetics were reviewed and analyzed. The article presents the classification of the adverse events proposed by World Health Organization experts. The legal issues related to the so-called “lipid resuscitation” are discussed. It seems appropriate to replace the term “systemic toxicity” of local anesthetics in all official documents with the term “side effect of the drug” or “side effects.” The use of the “lipid resuscitation” term in clinical practice is not supported by regulatory documents.
About the Authors
V. V. Unzhakov
Postgraduate Institute for Public Health Workers
Russian Federation
Russian Federation
Vitaly V. Unzhakov Postgraduate Institute for Public Health Workers, Doctor of Medical Sciences, Associate Professor, Head of Anesthesiology and Intensive Care Department
9, Krasnodarskaya St., Khabarovsk, 680009
E. S. Netesin
Irkutsk State Medical Academy of Postgraduate Education – Branch of Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Evgeniy S. Netesin Candidate of Medical Sciences, Associate Professor of Anesthesiology and Intensive Care Department
100, Yubileyny R.D., Irkutsk, 664049
V. I. Gorbachev
Irkutsk State Medical Academy of Postgraduate Education – Branch of Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Vladimir I. Gorbachev Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intensive Care Department
100, Yubileyny R.D., Irkutsk, 664049
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Review
For citations:
Unzhakov V.V., Netesin E.S., Gorbachev V.I. Disputed issues of systemic toxicity of local anesthetics. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2020;17(1):46-51. (In Russ.) https://doi.org/10.21292/2078-5658-2020-16-1-46-51
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