Guideline Implementation: Local Anesthesia

Abstract

It is not uncommon in perioperative settings for patients to receive local anesthesia for a variety of procedures. It is imperative for patient safety that the perioperative RN has a comprehensive understanding of best practices associated with the use of local anesthesia. The updated AORN "Guideline for care of the patient receiving local anesthesia" provides guidance on perioperative nursing assessments and interventions to safely care for patients receiving local anesthesia. This article focuses on key points of the guideline to help perioperative personnel become knowledgeable regarding best practice as they care for this patient population. The key points address patient assessment, the importance of having an overall understanding of the local agent being used, recommended monitoring requirements, and potential adverse events, including life-threatening events. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

Dental Management Considerations for Patients with Cardiovascular Disease—A Narrative Review

“…Local anesthetics with vasoconstrictors (like epinephrine) in dentistry impart prolonged anesthesia, reduced systemic toxicity, and optimal bleeding control [ 159 , 160 ]. Though the use of epinephrine in local anesthetics is common for healthy patients, its use is still debatable for cardiac patients due to its potential risk of causing unwanted cardiovascular effects.…”

Perioperative Peripheral Nerve Block Safety Education: A Quality Improvement Project

“…Working in an area where PNBs are performed requires knowledge about the practice protocols and standards related to local anesthetics, such as the pharmacology, monitoring requirements, patient responses, adverse events, and treatment for complications. 18,20,21 Advanced cardiac life support certification was required for the perioperative RN position within the hospital system. Promotion of awareness, preparedness, and vigilance is crucial in recognizing and treating life-threatening complications.…”