American Society of Regional Anesthesia and Pain Medicine checklist for managing local anesthetic systemic toxicity: 2012 version

Reg Anesth Pain Med. Jan-Feb 2012;37(1):16-8. doi: 10.1097/AAP.0b013e31822e0d8a.


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 (

Publication types

  • Practice Guideline

MeSH terms

  • Anesthesia, Local / standards*
  • Anesthesiology / standards*
  • Anesthetics, Local / adverse effects*
  • Checklist / standards*
  • Evidence-Based Medicine / standards
  • Humans
  • Poisoning / diagnosis
  • Poisoning / therapy
  • Societies, Medical / standards*


  • Anesthetics, Local