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In the management of local anaesthetic toxicity:

True / False

Lidocaine is the first line treatment for an atrial tachyarrhythmia Correct

Propofol is a suitable substitute for intravenous lipid emulsion Correct

Pancreatitis is a recognised complication Correct

Cardiopulmonary bypass is contraindicated Correct

Cardiopulmonary resuscitation (CPR) should be stopped during the administration of an intravenous lipid emulsion Correct

Explanation

Cardiopulmonary bypass can be used during local anaesthetic toxicity.

CPR should be continued throughout the administration of intravenous lipid emulsion.

Pancreatitis is a recognised complication of treatment. Lipase or amylase measurements should be performed on a daily basis.

Propofol is not a suitable substitute for intravenous lipid emulsion.

Lidocaine should not be used in the treatment of any arrhythmia induced by local anaesthetic toxicity.

Reference:

The Association of Anaesthetists of Great Britain & Ireland (AAGBI). Management of Severe Local Anaesthetic Toxicity.

Answer Statistics

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Average score: 90.99%

Times answered: 242