5. KNOWLEDGE OF LOCAL ANESTHETIC TOXICITY AMONG HEALTHCARE WORKERS IN SURGICAL DEPARTMENTS: A SINGLE-CENTER SURVEY

Le Ngo Khai Vy1, Tran Hoai Huy1, Le Diep Bao Liem1, Giap Thi Mai Linh1, Nguyen Huu Khanh Linh1, Ho Tat Bang2, Nguyen Vo Minh Hoang3, Nguyen Kim Anh3, Vu Tri Thanh3
1 Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh city
2 University Medical Center Ho Chi Minh city
3 Thu Duc city Hospital

Main Article Content

Abstract

Objective: To assess the knowledge of healthcare professionals regarding local anesthetic systemic toxicity in surgical departments at a hospital under the Ho Chi Minh city Department of Health.


Methods: A cross-sectional study was conducted from April to November 2024. A total of 99 healthcare professionals participated by completing a structured questionnaire regarding their practice in using local anesthetics and their knowledge of local anesthetic toxicity.


Results: Among participants, 73.7% had previously used or prescribed local anesthetics, with lidocaine being the most common (94.5%). Only 46.5% reported having knowledge of lipid emulsion therapy, while 18.2% had never heard of this treatment. The correct recognition rates for early symptoms such as tachycardia and altered consciousness were 65.7% and 63.6%, respectively. Notably, 60.6% had never received training on local anesthetic toxicity.


Conclusion: Healthcare professionals in surgical departments had insufficient knowledge of local anesthetic toxicity, particularly regarding early symptom recognition and the use of lipid emulsion therapy. Enhanced training programs on the management of local anesthetic toxicity are essential.

Article Details

References

[1] Karasu D, Yılmaz C, Özgünay Ş.E, Dayıoğlu M, Baytar Ç, Korfalı G, Knowledge of the research assistants regarding local anaesthetics and toxicity, Turk J Anaesthesiol Reanim, 2016, 44 (3): 201-5, doi:10.5152/TJAR.2016.53138.
[2] Munasinghe B.M, Subramaniam N, Srisothinathan N, Jayamanne B.D.W, An online study of knowledge and practices of local anesthetic systemic toxicity among doctors in Sri Lanka, Anaesth Pain Intensive Care, 2022, 26 (1): 69-74, doi:10.35975/apic.v26i1.1770.
[3] Jensen-Gadegaard P, Skjønnemand M, Damgaard-Jensen J, Gottschau B, Limited knowledge of lipid rescue therapy in local anaesthetic systemic toxicity, Dan Med Bull, 2011, 58 (1): A4226.
[4] Ilhan B, Demir M.C, Local Anesthetic Systemic Toxicity Knowledge of Emergency Medicine Residents: A Cross-Sectional Study, Konuralp Med J, 2020, 12 (3): 414-9, doi:10.18521/ktd.746744.
[5] Oksuz G, Urfalioglu A, Sekmen T, Akkececi N, Alpay N, Bilal B. Dentists’ knowledge of lipid treatment of local anaesthetic systemic toxicity, Niger J Clin Pract, 2018, 21 (3): 327-31, doi:10.4103/njcp.njcp_12_17.
[6] Khalil H, Local anesthetics dosage still a problem for most dentists: A survey of current knowledge and awareness, Saudi J Dent Res, 2014, 5 (1): 49-53, doi:10.1016/j.ksujds.2013.08.002.
[7] Buran S, Akdogan A, Besir A, Dohman D. Information on local anesthetics and toxicity for doctors in surgical department of Karadeniz Technical University Medical Faculty Hospital. Ann Med Res. 2020; 27 (6): 1811-5. doi:10.5455/annalsmedres.2019.12.905.
[8] Urfalioglu A, Oksuz G, Sekmen T, Bilal B, Akkececi N. The knowledge of eye physicians on local anesthetic toxicity and intravenous lipid treatment. Turk J Ophthalmol. 2017; 47 (6): 320-5. doi:10.4274/tjo.86961.
[9] Abbas S, Akram A, Abbas B, Fayyaz M, Mehmood B, Hayat U. Local anaesthetic systemic toxicity awareness among clinical practitioners. Pak Armed Forces Med J. 2021; 71 (5): 1642-6. doi:10.51253/pafmj.v71i5.4035.