Poll of the Month – July 2026 July 21, 2026 Poll Authors and Editors: Rita Agarwal, MD, FAAP; Julie Good, MD; Genevieve D’Souza, MD, FASA; Amber Borucki, MD; Wendy Webb, NP; Chris Almgren, NP You are following an 8-year-old child with developmental delay who is non-verbal. They have a history of seizures, well-controlled on Lamictal and Epidiolex. They are receiving a lidocaine infusion for extensive right-sided upper and lower extremity surgery. On post op day 2, the patient develops seizure-like activity. Prior to this surgery, his last seizure had been 6 months ago. What is your primary healthcare team (NOT the pain team) most likely to do to diagnose and treat LAST? (Select all that apply)A. We do not do any continuous lidocaine infusions.B. We DO have a lidocaine infusion policy, but this patient would be excluded from our protocol for this reason: .......... (Include Reason In Textarea 1)C. LAST what??D. Stop the local, send a stat lidocaine level, get the lipid emulsion that is stocked in the code carts.E. Stop the local, send a stat lidocaine level, but no lipid emulsion in the code cart.F. Stop the local, we cannot run stat lidocaine levels, but we do have lipid on our code carts.G. Stop the local, we cannot run stat lidocaine levels, and we don’t have lipid in our code carts.H. I’m not sure what the teams would do.I. Call the pain team.J. Treat seizures with benzodiazepine.K. We don’t get LAST because we keep our doses under .......... (describe protocol for dosing in Textarea 2)L. Something else .......... (please specify in Textarea 3)TextareaTextareaTextarea19 votes · 38 answersVoteResultsBack to vote