Systemic toxisity of local anesthethics during regional anesthesia in orthopedics and traumatology

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Abstract

There are cases of accidental intravascular injection of local anesthetic when performing regional anesthesia. The frequency of this complication was 0.28 per 1,000. We describe the clinical manifestations and the basic principles of the treatment of local anesthetics systemic toxicity. Discussed in detail the mechanism of action of fat emulsion and the protocol of lipid resuscitation Accidental intravascular injection of local anesthetics. The mechanism of action of fat emulsion and the protocol of lipidrescue accidental intravascular injection of local anesthetics was discussed.

About the authors

V. A. Koryachkin

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: vakoryachkin@rniito.ru
Россия

V. G. Chupris

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Россия

A. Z. Cherny

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Россия

V. S. Kasarin

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Россия

M. A. Lis’Kov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Россия

G. M. Malevich

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Россия

M. P. Maltsev

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Россия

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