title: Knowledge of the Research Assistants Regarding Local Anaesthetics and Toxicity.
abstract: OBJECTIVE
  Cardiovascular system depression, respiratory arrest, coma, convulsions, loss of consciousness, muscle twitching, blurred vision, vertigo, dizziness and numbness of the tongue can be seen in local anaesthetic toxicity. Treatment includes 20% lipid solutions, airway control, symptomatic treatment for arrhythmia and convulsions. The aim of this study is to present the knowledge of research assistants, who used local anaesthetics in daily practice, regarding these medications and toxicity treatment and to raise awareness.
  
  
  METHODS
  The questionnaire comprising 20 questions was administered to 115 research assistants who worked at different specialities in our hospital.
  
  
  RESULTS
  One hundred and two (88.6%) research assistants answered the questionnaire. Participants' mean age was 28.93 years. Most of them were from the Emergency Department (15.7%). A total of 40.6% of participants worked for 2-5 years at their departments. Local anaesthetics were used in daily practice for 44.4% of them, but 70.3% of them had not been educated about local anaesthetics. Research assistants from anaesthesiology and reanimation participated at a significantly higher rate than other departments (76.9%), in terms of training programs regarding local anaesthetics. While the most popular answers about early toxicity symptoms were anaphylaxis (12.7%) and arrthymia (12.7%), late toxicity was hepatotoxicity (10.8%). However, 87.9% of participants had never encountered local anaesthetic toxicity. The great majority of participants had never heard of lipid therapy (67.4%), and those who were aware had heard it from their trainers (52.2%). Although lipid solution was available in our hospital, only 8.4% of participants knew this.
  
  
  CONCLUSIONS
  We believe that additional training programs regarding local anaesthetics and toxicity are needed.
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Karasu
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
authors.forename: Canan
authors.initials: C
authors.lastname: Yılmaz
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
authors.forename: Şeyda Efsun
authors.initials: ŞE
authors.lastname: Özgünay
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
authors.forename: Mürüvvet
authors.initials: M
authors.lastname: Dayıoğlu
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
authors.forename: Çağdaş
authors.initials: Ç
authors.lastname: Baytar
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
authors.forename: Gülsen
authors.initials: G
authors.lastname: Korfalı
keywords: Local anaesthetic; questionnaire; toxicity