Case Report: Local anesthetic systemic toxicity during regional anesthesia in a patient with rheumatoid arthritis

Older patients with rheumatoid arthritis may be at increased risk for LAST due to disease-related vascular permeability changes, showing the need for increased vigilance during the administration of regional anesthesia. Early diagnosis and timely administration of intravenous lipid emulsion (ILE) remain critical for the successful management of this potentially life-threatening complication.

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Publication Details

Journal
Frontiers in Medicine
Published
2026-02-16
DOI
https://doi.org/10.3389/fmed.2026.1758548
Primary Topic
Anesthesia and Pain Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Case Report: Local anesthetic systemic toxicity during regional anesthesia in a patient with rheumatoid arthritis

Božana Obradović, Danilo Obradović, Relja Lukić, Miodrag Milenović et al.
Frontiers in Medicine
Anesthesia and Pain Management
article

Case Report: Local anesthetic systemic toxicity during regional anesthesia in a patient with rheumatoid arthritis

Božana Obradović, Danilo Obradović, Relja Lukić, Miodrag Milenović, Misa Baic
article en

Abstract

Older patients with rheumatoid arthritis may be at increased risk for LAST due to disease-related vascular permeability changes, showing the need for increased vigilance during the administration of regional anesthesia. Early diagnosis and timely administration of intravenous lipid emulsion (ILE) remain critical for the successful management of this potentially life-threatening complication.

Frontiers in MedicineVol. 13
University of Belgrade (RS), Institute of Orthopedics Banjica (RS), Centar za Promociju Nauke (RS), Institute for Migration Research (HR), Institute of Pharmacology (CZ), Resuscitation Council (GB)
Gender equality
Openalex Percentile: Top 54%
Anesthesia and Pain Management
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