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On controversial issues of systemic toxicity of local anesthetics

https://doi.org/10.21292/2078-5658-2020-17-6-88-92

Abstract

The letter draws attention to the provisions on the use of fat emulsion when systemic toxicity of local anesthetics develops that was published in the article titled Disputed Issues of Systemic Toxicity of Local Anesthetics. (Messenger of Anesthesiology and Resuscitation, no. 1, 2020). It is noted that the use of fat emulsion when systemic toxicity of local anesthetics develops is a method of therapy accepted worldwide and included in the protocols of cardiopulmonary resuscitation.

About the Author

R. E. Lakhin
S.M. Kirov Military Medical Academy
Russian Federation

Roman E. Lakhin Doctor of Medical Sciences, Professor of Military Anesthesiology
and Intensive Care Department

 
4, Klinicheskaya St., St. Petersburg, 194044

 
Phone/Fax: +7 (812) 329‒71‒21



References

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2. Metodicheskiye rekomendatsii MZ RF Sistemnaya toksichnost mestnykh anestetikov. [Guidelines of the Russian Ministry of Health on Systemic Toxicity of Local Anesthetics]. Available: https://democenter.nitrosbase.com/clinrecalg5/Files/recomend/МР107.PDF.

3. Unzhakov V.V., Netesin E.S., Gorbachev V.I.. Disputed issues of systemic toxicity of local anesthetics. Messenger of Anesthesiology and Resuscitation, 2020, vol. 17, no. 1, pp. 46-51. (In Russ.) doi: 10.21292/2078-5658-2020-17-1-46-51.

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7. Neal J.M., Woodward C.M., Harrison T.K. The American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity: 2017 Version. Reg. Anesth. Pain Med., 2018, vol. 43, no. 2, pp. 150‒153. doi:10.1097/AAP.0000000000000726.

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9. Truhlář A., Deakin C.D., Soar J. et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. Resuscitation, 2015, vol. 95, pp. 148‒201. doi:10.1016/j.resuscitation.2015.07.017.


Review

For citations:


Lakhin R.E. On controversial issues of systemic toxicity of local anesthetics. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2020;17(6):88-92. (In Russ.) https://doi.org/10.21292/2078-5658-2020-17-6-88-92



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ISSN 2078-5658 (Print)
ISSN 2541-8653 (Online)