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Article: Scavenging Nanoparticles: An Emerging Treatment for Local Anesthetic Toxicity
- Article from:
- Regional Anesthesia and Pain Medicine
- Article date:
- July 1, 2005
- Author:
CopyrightCopyright Churchill Livingstone Inc., Medical Publishers Jul/Aug 2005. Provided by ProQuest LLC. (Hide copyright information)
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A dreaded complication of local anesthetic use in regional anesthesia is systemic toxicity from unintentional intravascular local anesthetic injection. Although systemic toxic reactions are not common after peripheral nerve block, 7.5 to 20 events per 10, 000 in adults,1 they can be life-threatening and resistant to treatment.2-6 Recent data from an American Society of Anesthesiology Closed Claims Project demonstrate that unintentional intravenous local anesthetic injection was the second largest category of block-related regional anesthesia claims that resulted in death or brain damage.7
The manifestations of local anesthetic toxicity range from local neurotoxic and myotoxic reactions to ...