title: Systemic anaphylaxis following local lidocaine administration during a dental procedure.
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.
authors.affiliation: Division of Pediatric Pulmonology, Chang-Gung Children's Hospital and Chang Gung University, Taoyuan, Taiwan.
authors.forename: Chih-Yung
authors.initials: CY
authors.lastname: Chiu
authors.forename: Tzou-Yien
authors.initials: TY
authors.lastname: Lin
authors.forename: Shao-Hsuan
authors.initials: SH
authors.lastname: Hsia
authors.forename: Shen-Hao
authors.initials: SH
authors.lastname: Lai
authors.forename: Kin-Sun
authors.initials: KS
authors.lastname: Wong
mesh_terms: D000707:Anaphylaxis / Q000139:chemically induced*; D000766:Anesthesia, Dental / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D001919:Bradycardia / Q000209:etiology; D016887:Cardiopulmonary Resuscitation; D002675:Child, Preschool; D003793:Dental Restoration, Permanent; D004417:Dyspnea / Q000209:etiology; D004630:Emergencies; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D008297:Male
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine