Intralipid

[New2Midwest]

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Anyone stocking Intralipid in their block carts? If so, where are you at? Academic or private-institution name if you would...

 

[dhb]

Anyone stocking Intralipid in their block carts? If so, where are you at? Academic or private-institution name if you would...

I mentioned it to the head of the department and to a couple attendings a while back after picking it up from a thread on the forum 👍 and all of a sudden we got a email saying that a bottle was now stocked in the emergency cart...

academic hospital

 

[Noyac]

Yes

Private

 

[USAnesthesiaDoc]

Yes. I am in private practice in New Jersey, and due to recent publications regarding intralipid, our hospital and surgery center now stock intralipid.

 

[Gern Blansten]

We've had it stocked for about a year now. Academic setting.

 

[Noyac]

HAs anyone had to use it or seen it being used?

 

[jwk]

We put it on our block carts and OR crash carts shortly after the journal article came out. I don't think we've used it yet, but I haven't seen a local anesthetic seizure in 20 years either.

 

[militarymd]

yes, private

 

[VolatileAgent]

we have it and have actually already used it once on someone who got an accidental whopping intravascular dose of bupivicaine. the patient lived. academic setting.

 

[urgewrx]

we have it and have actually already used it once on someone who got an accidental whopping intravascular dose of bupivicaine. the patient lived. academic setting.

Did the pt arrest?

 

[VolatileAgent]

Did the pt arrest?

no. not that we were told. but she was presented at an m&m and i saw some of the rhythm strips before and after rx. that was some crazy multifocal ectopy with runs of wide-complex tachycardia going on before treatment, let me tell you.

 

[USAnesthesiaDoc]

Thankfully, I have not personally experienced the need to use intralipid but know one colleague who has. Check out www.lipidrescue.org and click on the post your cases link. Very impressive. Convinced our group to have it immediately available.

 

[MAC Man]

We had a patient arrest in holding after a block. Vfib arrest, CPR for awhile with no sustained response, gave intralipid, got the patient back.

Weinberg's studies are pretty impressive. I think that stuff should be on all regional carts.

 

[Frank Rizzo]

With the amounts of bupivacaine we use at my academic institution, I've wondered why we don't have it in the regional cart. Like everything else here, I'm sure it comes down to money Whats a vial go for?

 

[Gern Blansten]

varies by institutional agreements, but, in general, pretty cheap and long shelf life. All it is is lipid that they use to mix the TPN.

 

[New2Midwest]

The cost of a 250 ml bag of intralipid 20% (20% is advocated in weinberg's protocol) is $54 at my hospital-surely, worth it!!! The expiration date for the bag in our block cart is 8/2008 (also a plus)

 

[xjohns1]

all the ucsf-affiliated hospitals now stock intralipid.