Local Anesthetic Systemic Toxicity (LAST) Complicating Combined Femoral-Sciatic Nerve Block in An Uncontrolled Diabetic Patient: A Case Report
Year: 2024
Type: article
Study design: Case Report
Abstract: Anesthesiologists often face challenges when administering regional anesthesia in diabetic patients, particularly with concerns about the potential toxicity of local anesthetics to peripheral nerves. This case report details an incident of Local Anesthetic Systemic Toxicity (LAST) following a combined femoral and sciatic nerve block in an uncontrolled diabetic patient scheduled for below knee amputation. Despite careful administration and monitoring, the patient experienced a grand mal seizure, emphasizing the need for heightened awareness of potential complications in this high-risk population.
Authors: Assistant Professor, Emergency Medicine, AIIMS Patna, India, Dr Deepak Kumar, Dr Kumari Priyanka Chauhan, Resident, Trauma & Emergency, AIIMS Patna, India, Dr Divendu Bhushan, Associate Professor & Head, Emergency Medicine, AIIMS Patna, India, Dr Vishal Vaibhaw, Assistant Professor, Emergency Medicine, AIIMS Patna, India
Institution: All India Institute of Medical Sciences
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4405242695