[Forensic medical assessment of lidocaine and bupivacaine systemic toxicity].

Yuri I Pigolkin S V Shigeev A V Denisova K V Natarova Konstatin N Krupin

Published in: Sudebno-meditsinskaia ekspertiza (2023)

Was to assess the lidocaine and bupivacaine systemic toxicity in forensic medical practice. The number of patients' clinical observations equal three with local anesthetic systemic toxicity (LAST) from the practice of forensic medical experts were studied, and a search of scientific publications for the last 5 years in PubMed database was conducted. The amount of publications, describing cases with LAST, equal four were selected. Differential diagnostic features between LAST and anaphylaxis were considered. The literature data about relationship between lidocaine's concentration in the blood serum and clinical features are shown. The forensic medical assessment of LAST is proposed.

Keyphrases

healthcare
oxidative stress
primary care
end stage renal disease
ejection fraction
newly diagnosed
peritoneal dialysis
emergency department
quality improvement
postoperative pain
oxide nanoparticles
deep learning
adverse drug
patient reported