14.7.6.2
Moderate Local Anaesthetic Toxicity
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 14, Oral and Maxillofacial Conditions.
Signs and Symptoms
- Stuttering speech, nystagmus, tremors, headache, dizziness, blurred vision, drowsiness
Treatment
- Place in supine position
- Monitor vital signs
- Administer oxygen
- Observe for 1-hour 14.7.6. 3 SEVERE LOCAL ANAESTHETIC TOXICITY:
Signs and Symptoms
- Seizure, cardiac dysrhythmia, or cardiac arrest
Non-pharmacological
- Place in supine position
- If seizures, protect from nearby objects,
- Suction oral cavity if vomiting occurs
- Transport to emergency care facility / intensive care unit
- Notify EMS/ Summon for medical assistance
- Monitor vital signs
- If at any time the patient becomes unresponsive, no normal breathing, and no palpable pulse consider the diagnosis of cardiac arrest
- Immediate CPR and defibrillation congruent with current recommendations
Pharmacological
- Administer Oxygen 4 to 6 L/min by nasal cannula
- Give Diazepam 5-10 mg IV slowly as stat dose
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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