BACKGROUND: Intravenous lipid emulsions have been introduced for the management of @entity1 with Local Anesthetic Systemic @entity137 (LAST). These emulsions have been stated as a first-line treatment in the guidelines of several international anesthesia organizations. Nevertheless, the adoption of lipid rescue therapy by Chinese practitioners remains unknown. We, therefore, evaluated the current approaches to treat LAST and the use of lipid rescue therapy among anesthesiologists in China. METHODS: In September 2013, a 23-question survey on @entity590 practice and availability of lipid emulsions was sent by e-mail to directors or designated individuals at 41 academic anesthesiology departments listed by the orthopedic anesthesia group of the Chinese Society of Anesthesiology. RESULTS: Responses were received from 36 of the 41 (88  %) anesthesiology departments. To simplify the analysis, responses were divided into two groups according to the annual percentage of @entity1 who received @entity590 ( @entity590 ) for orthopedic anesthesia: 14 departments (39  %) with high-utilization (>= 50  %) and 22 departments (61  %) low-utilization (<50  %) of @entity590 . @entity1342 and @entity1341 were the common drugs used for @entity590 , which were independent of @entity590 utilization. Interestingly, ultrasound-guided techniques were much more frequently used in low-utilization institutions than in high-utilization institutions (P   =   0.025). Lipid emulsion was readily available in 8 of the 36 (22  %) responding institutions, with 7 of the other 28 (25  %) institutions planning to stock lipid emulsion. No differences in lipid availability and storage plans were observed between high- and low-utilization institutions. Lipid resuscitation was performed in five of the eight departments that had lipid emulsion. Eleven @entity1 were successfully resuscitated and one was not. CONCLUSION: Lipid emulsion is not widely available in China to treat LAST resulted from @entity590 for orthopedic @entity1 . Efforts are required to promote lipid rescue therapy nationwide. TRIAL REGISTRATION: Chinese Clinical Trail Registry (Registration number # ChiCTR-EOR-15006960 ; Date of Retrospective Registration on August 23rd, 2015) http://www.chictr.org.cn/showproj.aspx?proj=11703 .

Regional anesthesia and lipid resuscitation for local anesthetic systemic XXXX in China: results of a survey by the orthopedic anesthesia group of the chinese society of anesthesiology.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity137 :: ('MESH:D064420', 'Disease') :: ['Toxicity'] @entity1342 :: ('MESH:C037663', 'Chemical') :: ['Ropivacaine'] @entity1341 :: ('MESH:D002045', 'Chemical') :: ['bupivacaine'] @entity590 :: ('MESH:D008305', 'Disease') :: ['regional anesthesia', 'RA']
@entity137 :: (MESH:D064420,Disease) :: ['toxicity']
