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American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity: 2012 Version
  1. Joseph M. Neal, MD*,
  2. Michael F. Mulroy, MD* and
  3. Guy L. Weinberg, MD
  1. From the *Virginia Mason Medical Center; Seattle, WA; and
  2. University of Illinois and Jesse Brown VA Medical Center; Chicago, IL.
  1. Address correspondence to: Joseph M. Neal, MD, 1100 Ninth Ave, Seattle, WA 98181 (e-mail: anejmn{at}


Abstract In 2010, the American Society of Regional Anesthesia and Pain Medicine (ASRA) issued a practice advisory on local anesthetic systemic toxicity (LAST). The executive summary of this work contained a document that was intended to serve as a checklist for the management of LAST. Based on testing the checklist during a simulated episode of LAST, ASRA has issued an updated version that should replace the previous 2010 version. Electronic copies of the ASRA Checklist, suitable for lamination and inclusion in a local anesthetic toxicity kit, are available from the ASRA Web site (

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  • The authors have no conflicts of interest to report.

  • No funds were used for this article.