Knowledge of Local Anesthetic Systemic Toxicity among Emergency Medicine Physicians: A Cross-Sectional Study

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dc.authoridDemir, Mehmet Cihat/0000-0002-0106-3383
dc.authorwosidDemir, Mehmet Cihat/A-9087-2017
dc.contributor.authorIlhan, Bugra
dc.contributor.authorDemir, Mehmet Cihat
dc.date.accessioned2021-12-01T18:49:03Z
dc.date.available2021-12-01T18:49:03Z
dc.date.issued2020
dc.department[Belirlenecek]en_US
dc.description.abstractBackground: Local anesthetics (LAs) are widely used in medical practice. The prevalence of LAs used has attracted attention with increasing reports of toxicity. To our knowledge, there is no study that surveyed emergency medicine physicians (EMPs) about local anesthetic systemic toxicity (LAST). We aimed to assess EMPs' knowledge and awareness of LAST. Methods: This was a cross-sectional questionnaire-based study. EMPs working in the emergency department of a variety of hospitals (university, training and research, public, private) in Turkey participated in the study via e-mail. EMPs who did not use LAs and residents were excluded. The questionnaire was sent to physicians via e-mail, and responses were analyzed. Results: A total of 178 EMPs participated in the study and 20.8% and 22.5% of respondents recognized all the symptoms and treatment options of LAST respectively. About 4% had no knowledge on intravenous lipid emulsion (ILE) treatment, 41.6% used ILE treatment, and 42.1% were correct in the treatment dose of ILE. A significant correlation was found between the type of hospital and related training and the correct response of the ILE dose. Participants working at a university hospital had significantly higher correct answers (58.3%) on the treatment dose of ILE, but the correlation was weak (r: 0.165). Conclusion: Although LAST might have high mortality and morbidity in emergency patients, the level of EMPs' knowledge and awareness of LAST is poor. The current training about LAs should be increased and standardized. EMPs should be encouraged to use ILE if indicated.en_US
dc.identifier.doi10.22514/sv.2020.16.0040
dc.identifier.endpage154en_US
dc.identifier.issn1334-5605
dc.identifier.issn1845-206X
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85094569176en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage148en_US
dc.identifier.urihttps://doi.org/10.22514/sv.2020.16.0040
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10656
dc.identifier.volume16en_US
dc.identifier.wosWOS:000583292400007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMre Pressen_US
dc.relation.ispartofSigna Vitaeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLocal anestheticsen_US
dc.subjectSystemic toxicityen_US
dc.subjectEmergency medicine physiciansen_US
dc.subjectIntravenous lipid emulsionen_US
dc.subjectAmerican-Societyen_US
dc.subjectInformed-Consenten_US
dc.subjectLipid Treatmenten_US
dc.subjectAwarenessen_US
dc.titleKnowledge of Local Anesthetic Systemic Toxicity among Emergency Medicine Physicians: A Cross-Sectional Studyen_US
dc.typeArticleen_US

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