Title |
Lipídeos nas intoxicações por anestésicos locais
|
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Published in |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), February 2013
|
DOI | 10.1590/s0102-67202012000300007 |
Pubmed ID | |
Authors |
Artur Udelsmann, Elisabeth Dreyer, Marcos De Simone Melo, Matheus Rodrigues Bonfim, Luís Fernando Affini Borsoi, Thales Gê de Oliveira |
Abstract |
With the advent of long-lasting local anesthetics, local and regional anesthesia gained considerable impetus and the use of these techniques has become increasingly widespread. New block techniques have been described and regional anesthesia is frequently associated with general anesthesia to provide postoperative analgesia. In contrast, large doses of local anesthetics are required with the risk of accidents due to inadvertent intravascular injection, which is a severe complication without a specific treatment until a few years ago. In 1998, the use of lipid emulsions was proposed in animals. Since 2006, many studies have demonstrated an interest in these solutions in cases of local anesthetic-induced toxicity with a decrease in morbidity and mortality. The aim of this review article was to research the methodology, reviewing mechanisms, interests, limitations and currently recommended treatment. |
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