ABA Anesthesiology Practice Questions - American Board Of Anesthesiology Staged Certification (BASIC ADVANCED APPLIED) Exam

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A patient develops suspected local anesthetic systemic toxicity (LAST) with seizures and progressive cardiovascular collapse after a large-volume bupivacaine infiltration. In addition to airway and ACLS, what is the recommended initial lipid emulsion therapy?

20% lipid emulsion 1.5 mL/kg IV bolus over 2-3 minutes, followed by 0.25 mL/kg/min infusion 10% lipid emulsion 3 mL/kg rapid push once 20% lipid emulsion 10 mL/kg bolus 5% albumin 1 mL/kg bolus

Correct Answer:

20% lipid emulsion 1.5 mL/kg IV bolus over 2-3 minutes, followed by 0.25 mL/kg/min infusion

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