The American Society of Regional Anesthesia (ASRA) has developed a series of recommendations addressing the systemic toxicity of local anesthetics. The AAOS Council on Research, Quality Assessment and Technology reviewed the recommendations, and the AAOS Board of Directors, at its meeting on June 12, 2008, agreed to publish them in AAOS Now.
Prevention of systemic local anesthetic toxicity
Be vigilant. Monitoring electrocardiogram, blood pressure, and arterial oxygen saturation is recommended.
Communicate frequently with the patient to query for symptoms of toxicity.