Archive May 2018 XIX, No. 5

Ideas That Work: Local Anesthetic Toxicity

Keep Your Lipid Emulsions Close

Outpatient Surgery Editors



Stocking lipid emulsions (Intralipid) to reverse local anesthetic toxicity is a smart move. You definitely want this potentially life-saving fluid nearby whenever you're doing a regional block. That's why we keep our bags right on the ultrasound cart with the protocol for using it right next to the bag. We hang a clipboard on the side of the cart and the clip holds both the instructions and bag. This way you have your ultrasound probe in one hand and the bag is right there, 2 feet away, in the rare case a patient has a local anesthetic toxicity event. Intralipid can be stored at room temperature so you can keep it anywhere — on all your carts and in your ORs.

Paul Schaefer, MD
Middlesex Center for Advanced Orthopedic Surgery
Middletown, Conn.

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