ABSTRACT
Over the last decade there have been significant improvements in the delivery of regional anaesthesia including ultrasound-guided nerve blockade, which allows accurate delivery of local anaesthetics and the introduction of less cardiotoxic local anaesthetics such as levobupivacaine and ropivacaine. Nevertheless, local anaesthetic (LA) toxicity remains an ever-present risk and as such, the emergency management is a core topic. The Association of Anaesthetists of Great Britain and Ireland (AAGBI) has produced guidelines for the management of severe local anaesthetic toxicity, and examiners will expect a clear and concise reproduction of these guidelines in an exam situation.
