EM Cases · Local anaesthesia & topical agents
LAST after regional block — resus station
ACEM Fellowship resus OSCE on LAST recognition and lipid emulsion.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Seizure and cardiovascular collapse after bupivacaine fascia iliaca block.
Station brief
Format. Resus station. Manage the deteriorating patient after a nerve block.
References4ShowHide
- [1]Neal JM, Neal EJ, Weinberg GL. American Society of Regional Anesthesia and Pain Medicine Local Anesthetic Systemic Toxicity checklist: 2020 version Reg Anesth Pain Med, 2021.PMID 33148630
- [2]Neal JM, Barrington MJ, Fettiplace MR, Gitman M, Memtsoudis SG, Mörwald EE, Rubin DS, Weinberg G. The Third American Society of Regional Anesthesia and Pain Medicine Practice Advisory on Local Anesthetic Systemic Toxicity: Executive Summary 2017 Reg Anesth Pain Med, 2018.PMID 29356773
- [3]Karaoglu RO, Toprak Karaoglu A, Kumas Solak S, Sevdi MS, Demirgan S. Awareness and preparedness for local anesthetic systemic toxicity among surgical clinicians: a multi-center cross-sectional survey study BMC Anesthesiol, 2026.PMID 42399827
- [4]Lin HT, Hsieh PH, Liou JT, Chung YT, Tsai YF. The preventive efficacy of lipid emulsion on the occurrence of local anesthetic systemic toxicity in patients receiving local infiltration analgesia for total joint arthroplasty J Orthop Surg Res, 2024.PMID 39468594