• Pediatric emergency care · Mar 2004

    Case Reports

    Systemic anaphylaxis following local lidocaine administration during a dental procedure.

    • Chih-Yung Chiu, Tzou-Yien Lin, Shao-Hsuan Hsia, Shen-Hao Lai, and Kin-Sun Wong.
    • Division of Pediatric Pulmonology, Chang-Gung Children's Hospital and Chang Gung University, Taoyuan, Taiwan.
    • Pediatr Emerg Care. 2004 Mar 1; 20 (3): 178-180.

    AbstractWe 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.

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