Observe the patient closely after any reaction. Treatment of local anaesthetic toxicity is likely to have a good outcome if toxicity is recognised and basic resuscitation is started early. Monitor patients closely when using local anaesthetics. Ensure that hypotension and arrhythmias are treated early. Ensure that fits are adequately treated.
Most reactions are short-lived if the above advice is followed.
A 20 year old mother who had just delivered a baby started to fit and then developed a cardiac arrest whilst a midwife was injecting lignocaine prior to suturing her episiotomy. Prompt resuscitation with airway, intubation and ventilation, chest compressions, intravenous fluid and adrenaline saved her life.