LAST: Recognition and Treatment

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LAST: Recognition and Treatment

Recorded for 2025 National Conference

Credit(s):

0.93 Contact Hour(s) of CE; all of which may be applied towards Pharmacology

Program Number:

25067315

Original Program Date:

June 21, 2025

Duration:

56 minutes

Access:

Available until July 15, 2026

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Description
Sessions
Credits
Faculty
Materials
Reviews
Dates and Locations

(47)

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Category: 2025 National Conference, Cardiometabolic, Cardiovascular ... (show more)

Category: 2025 National Conference, Cardiometabolic, Cardiovascular, Cert Exam Domain - Diagnosis, Cert Exam Domain - Planning, Diagnostic Tests, Emergency, Lipids, Outpatient, Recent Additions (show less)

Activity Duration

Content Expires:

July 15, 2026 (11:55 p.m. CT)
CE for this activity will not be available after this date.

This CE activity was recorded for the 2025 AANP National Conference.

This activity includes closed captioning.

Delivery Note: The content for this activity was previously presented during the 2025 AANP National Conference. If you already completed the content of this activity while attending the live or virtual conference, you should not complete this content a second time. Learners should only complete ONE delivery-method to earn credit. Completing multiple delivery options for the same activity is considered duplicate credit for the same content and will not be accepted by regulatory bodies.

Overview
Local anesthetics are administered daily for many procedures in various clinical settings for patients across the lifespan; however, the complication of local anesthetic system toxicity (LAST) is often missing or briefly discussed in training programs for clinicians. It is crucial for any provider administering local anesthetic to be knowledgeable of risk factors and early recognition, including common central nervous system and cardiovascular manifestations of LAST. Additionally, the provider should be knowledgeable about the emergent management of LAST reviewing the American Society of Regional Anesthesia and Pain Medicine checklist, pharmacologic interventions and deviations from routine advanced resuscitative measures. Upon completion of this presentation, the nurse practitioner should also be able to identify prevention strategies that can be implemented into clinical practice.

Objectives

Assess risk factors and recognize early signs and symptoms of Local Anesthetic Systemic Toxicity (LAST) to facilitate timely intervention.
Implement evidence-based guidelines for the emergent resuscitation of patients experiencing LAST, including appropriate pharmacologic interventions.
Differentiate deviations in routine advanced resuscitative measures specific to LAST.
Develop and integrate prevention strategies into clinical practice to effectively reduce the occurrence of LAST.

Speaker
Haley Hays DNP, ARPN, FNP-BC, ENP-C, AGACNP-BC

Disclosure
This program was planned in accordance with AANP CE Standards and Policies.

The speaker has the following disclosures:

I have nothing to disclose.

Disclaimer
Individuals who have contributed to the CE Center (content originally from the 2025 AANP National Conference) were carefully selected for their knowledge and experience in the subject area under review. This presentation is informational only and may contain opinions of the authors from their personal experience that do not necessarily express the opinions of the American Association of Nurse Practitioners (AANP). The activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Clinical practice is a constantly changing process and new information becomes available every day. Neither AANP nor the contributing individuals can warrant that the material will continue to be accurate, nor do they warrant that the material is completely free of errors upon publication. Attendees and participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

CE Credit Instructions

Read this activity description, including objectives and disclosures.
Complete all educational content:
- OnDemand Presentations: Click the Play button to watch the activity video lecture. To get full credit for the learning activity portion, you must watch all of the video content.
- Click on the Additional Resources button to review all additional materials provided (handouts and any other downloadable resources).
After completing all educational content, go to the Next Steps button:
- Submit the activity evaluation to receive full AANP CE/Rx credit.
- Click on the Get Certificate button. At the top of the certificate screen, use the provided dropdown menu and select AANP Certificate of Completion.
  - A copy of your certificate of completion will display on the screen for you to print or save. A copy of the certificate will also be emailed to you.
  - A copy of the certificate will be automatically added to your AANP CE Tracker.

Additional Information
For questions or more information concerning this online CE activity, please visit the AANP Help Center to find answers to frequently asked questions and request assistance.

0.93 Contact Hour(s) of CE,
All of which may be applied towards Pharmacology