20 Jan 2024
Local Anesthetic Hypersensitivity Reactions in Pediatric Patients: Recognition and Management
Fabrizio Franceschini 1,*
, Paolo Bottau 2, Silvia Caimmi 3, Annamaria Bianchi 4, Giuseppe Crisafulli 5, Lucia Liotti 6, Francesca Mori 7, Sara Riscassi 8, Francesca Saretta 9, Rocco Luigi Valluzzi 10, Carlo Caffarelli 11,*
, Paolo Bottau 2, Silvia Caimmi 3, Annamaria Bianchi 4, Giuseppe Crisafulli 5, Lucia Liotti 6, Francesca Mori 7, Sara Riscassi 8, Francesca Saretta 9, Rocco Luigi Valluzzi 10, Carlo Caffarelli 11,*Abstract
Local anesthetics (LAs) are commonly used in all medical specialties, particularly in association with surgery, obstetrics, dentistry, and emergency departments. Most individuals, starting from young children, are exposed to LAs during life. LA hardly induces adverse events when used in recommended doses and with proper injection techniques. However, immediate anaphylactic reactions to LA injections may be a rare but life-threatening manifestation. A comprehensive report of the event and performing a specialist examination are crucial to prevent further episodes. The diagnosis should be based on history, medical records, skin and challenge tests.
Keywords
- drug adverse reactions
- local anesthetic allergy
- drug allergy