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    Local Anesthetic Systemic Toxicity Knowledge of Emergency Medicine Residents: A Cross-Sectional Study
    (2020) İlhan, Bugra; Demir, Mehmet Cihat
    Objective: Local anesthetics (LAs) are starting to be used after the discovery ofcocaine, which is used in medical practice. Now LAs are used many procedures in manyclinics, especially in emergency departments (EDs). The extensive use of LAs wasbrought side effects and toxicity. Local anesthetic systemic toxicity (LAST) have beenreported from simple allergic conditions to cardiovascular and neurologicalcomplications that can be fatal. The study aims to evaluate the level of knowledge andawareness of LAST among emergency medicine residents (EMRs).Methods: This was a questionnaire-based cross-sectional study. The questionnaireswere sent to EMRs via e-mail, and responses were collected. The participants who gaveinformed consent included in the study, and who didn’t use LAs in their daily practicewere excluded. All of the participants responded all of the questions and responses wereanalyzed.Results: 92 EMRs were included in the study. The median age of the participants was29 (24-50) years, and 48.9% were women. In the research, no one could recognize allLAST symptoms, ranging from mild to severe. Only 16.3% of the participants answeredall treatment options of the LAST correctly, and 27.2% knew the intravenous lipidemulsion dosage accurately.Conclusions: The level of knowledge and awareness of the EMRs on LAST wereinsufficient. EMRs training rates on LAs and LAST were found to be low. In addition, itwas stated that the patient's informed consent was not appropriately obtained from thevast majority of patients undergoing LA procedure. As the first study on LAST amongEMRs, we believe that necessary arrangements should be made regarding the detecteddeficiencies