1 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 8
S
tocking
lipid emul-
sions
(Intralipid) to
reverse local anes-
thetic toxicity is a
smart move. You
definitely want this
potentially life-sav-
ing fluid nearby
whenever you're
doing a regional block. That's why we keep our bags right on the
ultrasound cart with the protocol for using it right next to the bag.
We hang a clipboard on the side of the cart and the clip holds
both the instructions and bag. This way you have your ultrasound
probe in one hand and the bag is right there, 2 feet away, in the
rare case a patient has a local anesthetic toxicity event. Intralipid
can be stored at room temperature so you can keep it anywhere
— on all your carts and in your ORs.
Paul Schaefer, MD
Middlesex Center for
Advanced Orthopedic Surgery
Middletown, Conn.
p.schaefer@mcaos.com
LOCAL ANESTHETIC TOXICITY
Keep Your Lipid Emulsions Close
Ideas Work
That
