Dr. Gevirtz is Associate Professor of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, and Medical Director, Somnia Pain Management, 627 W St, Harrison, New York, NY 10528; E-mail: [email protected].

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Dr. Gevirtz has disclosed that use of Intralipid for treatment of local anesthetic systemic toxicity as discussed in this article has not been approved by the U.S. Food and Drug Administration.

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Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on June 30, 2013.