Review

Lipid rescue: the use of lipid emulsions to treat local anaesthetic toxicity

Published in: Southern African Journal of Anaesthesia and Analgesia
Volume 15 , issue 5 , 2009 , pages: 20–28

DOI: 10.1080/22201173.2009.10872619

Author(s): CJ Kruger Department of Anaesthesiology and Critical Care, South Africa , PC Marwick Department of Anaesthesiology and Critical Care, South Africa , AI Levin Department of Anaesthesiology and Critical Care, South Africa

Keywords: lipid emulsion therapy , local anaesthetic toxicity , local anaesthetic cardiotoxicity , cardiopulmonary resuscitation , bupivacaine cardiotoxicity

Download full text Get new issue alerts

Abstract

Despite increasing safety of regional anaesthesia, the growth in the popularity therof implies that local anaesthetic toxicity will occur occasionally. Local anaesthetic cardiotoxicity, even when using “safer” modern local anaesthetics, is notoriously resistant to standard resuscitation. The aim of this paper is to review current knowledge regarding the use of lipid emulsions to treat local anaesthetic toxicity.

« Haemostatic problems in liver surgery: A review

Cardiac arrest after submucosal infiltration with lignocaine 2%—epinephrine in nasal surgery: A case report »