Karl Sebastian Johansson, Lotte Christine Groth Høgberg, Mikkel Bring Christensen, Tonny Studsgaard Petersen, Kim Dalhoff & Søren Bøgevig
Ugeskr Læger 2020;182:V11190656
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.