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American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity: 2012 Version

Neal, Joseph M. MD*; Mulroy, Michael F. MD*; Weinberg, Guy L. MD

Regional Anesthesia & Pain Medicine: January/February 2012 - Volume 37 - Issue 1 - p 16–18
doi: 10.1097/AAP.0b013e31822e0d8a
Original Articles
Checklist

Abstract: In 2010, the American Society of Regional Anesthesia and Pain Medicine (ASRA) issued a practice advisory on local anesthetic systemic toxicity (LAST). The executive summary of this work contained a document that was intended to serve as a checklist for the management of LAST. Based on testing the checklist during a simulated episode of LAST, ASRA has issued an updated version that should replace the previous 2010 version. Electronic copies of the ASRA Checklist, suitable for lamination and inclusion in a local anesthetic toxicity kit, are available from the ASRA Web site (www.asra.com).

From the *Virginia Mason Medical Center; Seattle, WA; and †University of Illinois and Jesse Brown VA Medical Center; Chicago, IL.

Accepted for publication July 14, 2011.

Address correspondence to: Joseph M. Neal, MD, 1100 Ninth Ave, Seattle, WA 98181 (e-mail: anejmn@vmmc.org).

The authors have no conflicts of interest to report.

No funds were used for this article.

In 2010, the American Society of Regional Anesthesia and Pain Medicine (ASRA) issued its practice advisory on local anesthetic systemic toxicity (LAST).1 The practice advisory included a checklist that was intended to guide the management of LAST events. This issue of Regional Anesthesia and Pain Medicine contains a study that used simulation to test the effectiveness and usability of the ASRA Checklist.2 Based on the results of that study, the 2010 version of the ASRA Checklist has been modified to correct the checklist’s visual prominence defects.

The revised ASRA Checklist is appended. Electronic copies of the checklist can be obtained free of charge from the ASRA Web site (www.asra.com) and are suitable for inclusion in a local anesthetic toxicity kit.

Authors who reference the ASRA practice advisory on LAST and/or the ASRA Checklist are reminded to cite this current version of the checklist along with the original practice advisory1 when appropriate.

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REFERENCES

1. Neal JM, Bernards CM, Butterworth JF, et al.. ASRA practice advisory on local anesthetic systemic toxicity. Reg Anesth Pain Med. 2010; 35: 152–161.
2. Neal JM, Hsiung RL, Mulroy MF, Halpern BB, Dragnich AD, Slee AE. ASRA checklist improves trainee performance during a simulated episode of local anesthetic systemic toxicity. Reg Anesth Pain Med. 2012; 37: 8–15.
©2012 American Society of Regional Anesthesia and Pain Medicine