Dental anesthesia for patients with allergic reactions to lidocaine: two case reports

Lee, Jiseon; Lee, Juyoung; Kim, Hyun Jeong; Seo, Kwang-Suk

doi:10.17245/jdapm.2016.16.3.209

Cited by 28 publications

(23 citation statements)

References 8 publications

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“…In order to diagnose allergies, the skin prick test is the most endorsed. When skin prick test results are determined to be negative, intradermal testing should be performed for patients who have a history of allergy to local anesthetics intradermal tests become obligatory [15,16].…”

Section: Allergymentioning

confidence: 99%

Complications Associated with Local Anesthesia in Oral and Maxillofacial Surgery

Yalcin¹

2020

Topics in Local Anesthetics

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One of the important attempts in clinical oral surgery practice is to maintain safe and effective local anesthesia. Dental procedures are frequently performed under local anesthesia; thus, drug-related complications are often encountered. It is mandatory to have a preoperative evaluation of the patient and choosing the proper local anesthetic agent. Various complications including hypersensitivity, allergy, overdosage, toxicity, hematoma, trismus, paresthesia, or neuralgia can be observed during practice. Therefore, the practitioner should be aware of the possible complications and management methods. The aim of this chapter is to review the preoperative and postoperative complications associated with the local anesthetic in oral and maxillofacial surgery practice. The prevention of measures and treatment of the complications is also emphasized.

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Section: Allergymentioning

confidence: 99%

Complications Associated with Local Anesthesia in Oral and Maxillofacial Surgery

Yalcin¹

2020

Topics in Local Anesthetics

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“…Anaphylactic reactions to local anaesthetic (LA) administered in the dental setting is very rare, 26 but they have been reported. 27,28,29 The actual incidence of adverse effects from LA is about 0.1-1%, 30 with 1% of these cases being confirmed allergic reactions. 26,31 Actual allergic reactions to LAs are either immediate hypersensitivity reactions (type I: systemic signs) or delayed hypersensitivity reactions (type IV: localised reaction at the injection site, contact dermatitis).…”

Section: Local Anaestheticmentioning

confidence: 99%

“…26 Excipients such as preservatives (for example, benzoates used in multi-dose vials) and antioxidants (for example, metabisulphites used in LA solutions containing adrenaline) can cause allergic reactions. 27,33,34 It is also important to be aware of the risk of allergy to natural rubber latex (NRL) contained in bungs, gloves and dams, as well as other dental materials 23 (see below). Contrary to some reports, the risk of latex allergies from LA carriages is minimal.…”

Section: Local Anaestheticmentioning

confidence: 99%

Management of anaphylaxis in the dental practice: an update

Jevon

Shamsi²

2020

Br Dent J

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“…Setelah tindakan elektroakupunktur press needle ditempelkan pada titik Hegu sebelah kiri. 8,9 Keluhan nyeri berangsur menghilang dengan skor visual analogue scale (VAS) 1-2. Keluhan pusing, mual, muka bengkak, dan kesemutan tidak dirasakan lagi.…”

Section: 5unclassified

Akupunktur pada Pasien dengan Efek Samping Obat Pascatindakan Anestesi Spinal

Kurniawan¹,

Ibrahim²

2017

jap

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AbstrakAkupunktur secara luas telah digunakan untuk menginduksi analgesi. Akupunktur dapat digunakan sebagai terapi nyeri, alergi, inflamasi, gangguan metabolik, dan pascastrok. Laporan kasus ini bertujuan memaparkan manfaat akupunktur sebagai terapi gangguan akibat efek samping obat. Seorang wanita 59 tahun memiliki keluhan nyeri perut bagian bawah akibat kista ovarium terpuntir. Pasien alergi terhadap hampir seluruh obat yang pernah diminumnya termasuk antibiotik, analgetik, non steroidal anti inflamatory drugs (NSAID), steroid, dan vitamin. Pasien menjalani kistektomi dengan anestesi spinal menggunakan obat anestetik lokal bupivakain 10 mg di Rumah Sakit Dr. Dustira Cimahi pada 20 Juni 2016. Tiga puluh menit pascabedah pasien mengeluh nyeri di daerah operasi dan muncul efek samping obat dengan keluhan pusing, mual, muka terasa bengkak dan tebal, serta kulit kemerahan seluruh tubuh. Pasien diduga mengalami adverse drug reaction (ADR) akibat bupivakain. Pasien diberi tindakan elektroakupunktur dengan pemasangan jarum akupunktur pada titik insisi, Hegu (LI-4), Neikuan (P-6), Sanyinjiao (SP-6), dan Zusanli (S-36) bilateral dialiri listrik 10 mA pada frekuensi 40 Hz selama 30 menit. Setelah tindakan elektroakupunktur press needle ditempelkan pada titik Hegu sebelah kiri. Keluhan nyeri berangsur menghilang dan akibat efek samping obat tidak dirasakan lagi. Akupunktur dipilih untuk mengatasi nyeri pascaoperasi dan gangguan efek samping obat karena pasien memiliki riwayat alergi obat analgesik dan antialergi. Pada kasus ini akupunktur efektif mengatasi gangguan akibat efek samping obat anestetik lokal pada suntikan spinal. Kata kunci: Adverse drug reaction (ADR), akupunktur, titik akupunktur Acupuncture on A Patient with Adverse Drug Reaction after Spinal Anesthesia AbstractAcupuncture is widely used to induce analgesia. Acupuncture can be used in the treatment of pain, allergy, inflammation, metabolic disorders, and post-stroke. This case report aimed to describe the benefits of acupuncture as a therapy of adverse reactions to drug. A-59-year woman was presented weith a complaint of lower abdominal pain due to twisted ovarian cyst. She had a history of allergy to almost all drugs i.e. antibiotics, analgesics, non-steroidal anti-inflamatory drugs (NSAIDs), steroids, and vitamins. Patient underwent cystectomy under spinal anesthetic of 10 mg bupivacaine at Dr. Dustira Hospital Cimahi on June 20, 2016. Thirty minutes post-surgery, she started to complain about the pain in the area of the surgery and the signs-symptoms of allergic reactions occurred (dizziness, nausea, swollen and thick feeling of the face, and reddish skin all over the body). Patient was suspected of having adverse drug reactions (ADR) that was most likely the side effects of bupivacaine. She then received electroacupunture to address the postoperative pain and allergic reaction to bupivacaine. Acupuncture needles were placed at the point of incision consisting of Hegu (LI-4), Neikuan (P-6), Sanyinjiao (SP-6), and Zusanli (S-36) bilateral, electrified ...

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Dental anesthesia for patients with allergic reactions to lidocaine: two case reports

Cited by 28 publications

References 8 publications

Complications Associated with Local Anesthesia in Oral and Maxillofacial Surgery

Complications Associated with Local Anesthesia in Oral and Maxillofacial Surgery

Management of anaphylaxis in the dental practice: an update

Akupunktur pada Pasien dengan Efek Samping Obat Pascatindakan Anestesi Spinal

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