Is local anaesthesia safe in the hands of our surgical residents? A cross-sectional, questionnaire-based study.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 6
Abstract
Background: Local anaesthetics are used on regular basis by surgical residents in the absence of anaesthesiologists in operating room. Many of them are unaware of the safe doses of LA and detection and treatment of local anaesthetic systemic toxicity. Materials and Methods: A questionnaire was formulated and circulated among 150 multi-speciality surgical residents and 106 filled ones were statistically analysed. Results: The knowledge regarding safe dose of Lignocaine was present in 45.6%, 27.3%, 40% and 25% residents of surgery, orthopaedics, obstetrics and ENT respectively. Though 60% residents were using Bupivacaine the knowledge about safe dose of Bupivacaine was extremely poor among all specialities. Majority residents (40-60%) had the knowledge about symptoms of LAST but only 3-5% were aware about intralipid therapy. Conclusion: The knowledge amongst all the surgical residents regarding safe use of LA and detection and treatment of LAST and intralipid use is extremely poor and attempts should be made to improve this in order to avoid incidents of and fatalities due to LAST.
Authors and Affiliations
Dr. Shubhada Deshmukh
Keywords
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