Implementation of Crisis Checklist for Local Anesthetic Systemic Toxicity (LAST) in the Parturient Patient

Author

Annelise ContinoFollow

Date of Award

Spring 5-2020

Document Type

DNP Project

Project Team Faculty Member

Dr. Mary Zerlan

Project Team Faculty Member

Dr. Michelle Ertel

Keywords

LAST, intralipids, lipid emulsion, local anesthetic systemic toxicity

Abstract

The chief anesthesiologist at a large hospital in Illinois requested education and a checklist on the treatment of Local Anesthetic Systemic Toxicity for the medical team involved in the care of parturient patients. The implementation of The Stanford Anesthesia Cognitive Aid Group checklist for LAST and an educational session was completed for all staff involved in the care of the parturient patient. A PowerPoint presentation was utilized to educate on the early recognition and treatment of LAST. The presentation was implemented at the obstetrics department staff meetings and the monthly anesthesia department meeting. A pretest was completed prior to education and results were compared to the posttest distributed after the information session. This project assessed the impact of education on LAST and the implementation of a standardized checklist. The results revealed the staff had a solid, basic knowledge of local anesthetic systemic toxicity which improved after the education. A survey completed by the staff reflected, they feel confident implementing the checklist, if needed, and that the education improved their knowledge of LAST. It is imperative that nurses are aware of the early signs and symptoms of LAST to potentially prevent a fatal situation. The implementation of a standardized checklist improves practitioner practice by enhancing the safety for mother and fetus. The knowledge gained by the staff is empowering patients benefit in the long-term. Future work could include yearly education on recognizing the signs and symptoms of LAST and review of the checklist.

Recommended Citation

Contino, Annelise, "Implementation of Crisis Checklist for Local Anesthetic Systemic Toxicity (LAST) in the Parturient Patient" (2020). Doctor of Nursing Practice Projects. 96.
https://spark.siue.edu/dnpprojects/96

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