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Bispebjerg Hospital - a part of Copenhagen University Hospital
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Systemisk toksicitet ved lokalanalgetika

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Local anaesthetic systemic toxicity (LAST) gives rise to symptoms from the central nervous and cardiovascular systems. Knowledge about symptoms and risk factors is crucial in preventing LAST. Treatment of severe symptoms should often include vasopressors and sodium bicarbonate. In cardiac arrest the guidelines for advance life support including high-quality cardiopulmonary resuscitation (CPR) should be followed - emphasising prolonged CPR and extracorporeal life support (ECLS) in case of LAST. The conclusion of this review is that intravenous lipid emulsion should only be considered, when other interventions fail, and ECLS is unavailable.

Translated title of the contributionLocal anaesthetic systemic toxicity
Original languageDanish
JournalUgeskrift for Laeger
Volume182
Issue number51
ISSN0041-5782
Publication statusPublished - 14 Dec 2020

ID: 62293491