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Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

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Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...

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CO2-Lasertonsillotomy Under Local Anesthesia in Adults

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Guidelines in Practice: Local-Only Anesthesia.

Kristine Little

|June 26, 2026

Summary

This summary is machine-generated.

Perioperative nurses can enhance patient safety during local-only anesthesia procedures by implementing updated AORN guidelines. These guidelines offer best practices for care when an anesthesia professional is absent, ensuring optimal patient outcomes.

Keywords:

IV lipid emulsion 20%adverse reactions local anesthetic systemic toxicity (LAST)local‐only anesthesia monitoring

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Area of Science:

Nursing
Anesthesiology

Background:

Patients receiving local-only anesthesia often lack direct anesthesia professional presence.
This necessitates specific perioperative care strategies to ensure safety and support patient goals.

Purpose of the Study:

To provide an overview of the updated AORN Guideline for care of the patient receiving local-only anesthesia.
To highlight recommendations for perioperative nurses and clinical teams.

Main Methods:

Review of the AORN "Guideline for care of the patient receiving local-only anesthesia."
Discussion of guideline recommendations covering preoperative assessment, anesthetic administration, intraoperative and postoperative care, adverse reactions, education, and policies.

Main Results:

The guideline offers comprehensive information on local anesthetic administration and patient care without an anesthesia professional.
Specific recommendations are provided for all phases of perioperative care, including monitoring and discharge planning.

Conclusions:

Perioperative nurses must review and apply the AORN guideline recommendations for patients undergoing procedures with local-only anesthesia.
Adherence to these guidelines strengthens perioperative safety and improves patient care.