« Back
A Change in Culture and Practice in the  Documentation of Local Anesthetics
A Change in Culture and Practice in the Documentation of Local Anesthetics
Submitted on 17 Apr 2018

Moon Jung, Shane McDonald, Joe Loskove
Nova Southeastern University
This poster was presented at American Academy of Anesthesiologist Assistants Annual Conference
Poster Views: 408
View poster »
Poster Abstract
Local anesthetics are given routinely by health care workers ranging from nurses and technicians to anesthesia personnel and physicians. There is concern for local anesthetic systemic toxicity ranging from mild neurological symptoms of dizziness and disorientation to cardiovascular collapse. Current recommendations regarding maximum dose of local anesthetics are weight based and do not consider patient risk factors, concurrent medications, location of block, and total local anesthetic dose. Moreover, clinicians do not always take into account previously administered dosages of local anesthetics before giving more. We propose a change to the electronic medical system in the documentation of local anesthetics.

Mehra, P., Ciazzo, A., and Maloney, P (1998). Lidocaine Toxicity. Anesthesia Progress. 45(1):38-41.
Neal, J. M., Bernards, C. M., Butterworth, J. F., Di Gregorio, G., Drasner, K., Hejtmanek, M. R., Mulroy, M. F., Rosenquist, R. W., and Weinberg, G. L (2010). ASRA Practice Advisory on Local Anesthetic Systemic Toxicity. Regional Anesthesia & Pain Medicine. 35(2):152-161.
Rosenberg, P. H., Veering, B. T., and Urney, W. F (2005). Maximum recommended doses of local anesthetics: A multifactorial concept. Obstetric Anesthesia Digest. 25(3):118-119.
Rubin, D. S., Matsumoto, M. M., Weinberg, G., and Roth, S (2018). Local Anesthetic Systemic Toxicity in Total Joint Arthroplasty: Incidence and Risk Factors in the United States From the National Inpatient Sample 1998-2013. Regional Anesthesia and Pain Medicine. 43(2):131-137.
Yu, R. N., Houck, C. S., Casta, A., and Blum, R. H (2016). Institutional policy changes to prevent cardiac toxicity associated with bupivacaine penile bloc
Report abuse »
Ask the author a question about this poster.
Ask a Question »

Creative Commons

Related Posters

Nikita Gandotra

Things just keep changing: Family caregivers' perceptions of the impact of Huntington's disease on caregiver burden
Jess Kaplonyi, Dr Christopher Lind, Catherine Christian, Irene Scott

The EurOPDX EDIReX project: towards a European Research Infrastructure on patient-derived cancer models
E. Vinolo 1, J.P. Morris 1, D.G. Alférez 2, J. Arribas 3,4,5, C. Bernadó 3,4,5, A. Bertotti 6, A. Bruna 7, A.T. Byrne 8, C. Caldas 7, R.B. Clarke 2, N. Conte 9, R. Corsi 10, S. Corso 6, M. Crespo 3, A. Dahmani 11, V. Dangles-Marie 11, D. Decaudin 11, Z. Dudová 12, A. Fiori 6, S. Giordano 6, M. Hauptsmann 13, M. Hidalgo 14, C. Isella 6, S. de Jong 15, J. Jonkers 13, A. Křenek 12, O. Krijgsman 13, D. Kouřil 12, J.C. Lacal 14, L. Lanfrancone 16, E. Leucci 17, G.M. Mælandsmo 18, E. Marangoni 11, J. Mason 9, M.Th. Mayrhofer 19, A. Mazzocca 6, T.S. Meehan 9, E. Montaudon 11, F. Nem

Outcomes of prolotherapy for intra-tendinous Achilles tears: A case series
Ben Havard, Otto Chan, Dylan Morrissey, Sarah Morton

CT signs of Internal Hernia after Roux En Y bypass
Dr Farah Aldhaher, Dr Michael Steward, Dr Jane Young