Log in

Search POM Topics

Local Anaesthetic Systemic Toxicity (LAST)

Created
Last Update
Ross Hanrahan

AAGBI Intralipid Dose Calculation for Management of LAST

Rapid Intralipid Dose Calculation for Management of LAST1

Hidden
Hidden
Hidden
Hidden

Dose calculations for AAGBI guidelines for a patient weight of 70kg

- Give ml as a bolus over 1 min (1.5ml.kg-1)

- Then commence a ml/hr infusion (15ml.kg-1.hr-1).


Reassess after 5 minutes, if

  • cardiovascular stability has not been restored or
  • an adequate circulation deteriorates

May give a maximum of 2 further repeat boluses of ml (1.5ml.kg-1 x 3).

And may double the rate of infusion at ay time after 5 min to ml/hr (30ml.kg-1.hr-1.)

Do not exceed a maximum dose of mls (12ml.kg-1).

References

  1. AAGBI Management of Severe Local Anaesthetic Toxicity - 2010
Subscribe
Notify of


0 Comments
Inline Feedbacks
View all comments
Topic Contents

Jump to Topic Discussion Area

error: <b>Alert:</b> Content is protected !!