Systemic Anaphylaxis Following Local Lidocaine Administration during a Dental Procedure

Chih Yung Chiu, Tzou Yien Lin, Shao Hsuan Hsia, Shen Hao Lai, Kin Sun Wong

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

We report a 4-year-old child who developed systemic anaphylactic reaction to lidocaine hydrochloride within 15 minutes after a dental procedure. Hypersensitivity to local anesthetics is not common; however, if anaphylaxis did happen, it required emergent and immediate resuscitation. To prevent such complications, complete medical history including drug allergy should be taken. Prompt administration of epinephrine and other resuscitative measures are life saving in such circumstance. All emergency room physicians should consider systemic anaphylaxis in patients with rapid vascular collapse and respiratory failure immediately following lidocaine administration for minor outpatient procedures.

Original languageEnglish
Pages (from-to)178-180
Number of pages3
JournalPediatric Emergency Care
Volume20
Issue number3
DOIs
Publication statusPublished - Mar 2004
Externally publishedYes

Keywords

  • Anaphylaxis
  • Lidocaine hydrochloride

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nursing(all)
  • Emergency Medicine

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