Local Anesthetic Hypersensitivity Reactions in Pediatric Patients: Recognition and Management

Fabrizio Franceschini; Paolo Bottau; Silvia Caimmi; Annamaria Bianchi; Giuseppe Crisafulli; Lucia Liotti; Francesca Mori; Sara Riscassi; Francesca Saretta; Rocco Luigi Valluzzi; Carlo Caffarelli

doi:10.24976/Discov.Med.202436180.2

Local Anesthetic Hypersensitivity Reactions in Pediatric Patients: Recognition and Management

Fabrizio Franceschini, Paolo Bottau, Silvia Caimmi, Annamaria Bianchi, Giuseppe Crisafulli, Lucia Liotti, Francesca Mori, Sara Riscassi, Francesca Saretta, Rocco Luigi Valluzzi, Carlo Caffarelli

Krankenhaus Bozen

Research output: Contribution to journal › Review article › peer-review

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.

Original language	English
Pages (from-to)	16-21
Number of pages	6
Journal	DISCOVERY MEDICINE
Volume	36
Issue number	180
DOIs	https://doi.org/10.24976/Discov.Med.202436180.2
Publication status	Published - Jan 2024

Keywords

Humans
Child
Child, Preschool
Anesthetics, Local/adverse effects
Drug Hypersensitivity/diagnosis
Skin

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10.24976/Discov.Med.202436180.2

Cite this

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title = "Local Anesthetic Hypersensitivity Reactions in Pediatric Patients: Recognition and Management",

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 = "Humans, Child, Child, Preschool, Anesthetics, Local/adverse effects, Drug Hypersensitivity/diagnosis, Skin",

author = "Fabrizio Franceschini and Paolo Bottau and Silvia Caimmi and Annamaria Bianchi and Giuseppe Crisafulli and Lucia Liotti and Francesca Mori and Sara Riscassi and Francesca Saretta and Valluzzi, {Rocco Luigi} and Carlo Caffarelli",

note = "8Pediatric Department, Bolzano Hospital, 39100 Bolzano, Italy",

year = "2024",

month = jan,

doi = "10.24976/Discov.Med.202436180.2",

language = "English",

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TY - JOUR

T1 - Local Anesthetic Hypersensitivity Reactions in Pediatric Patients

T2 - Recognition and Management

AU - Franceschini, Fabrizio

AU - Bottau, Paolo

AU - Caimmi, Silvia

AU - Bianchi, Annamaria

AU - Crisafulli, Giuseppe

AU - Liotti, Lucia

AU - Mori, Francesca

AU - Riscassi, Sara

AU - Saretta, Francesca

AU - Valluzzi, Rocco Luigi

AU - Caffarelli, Carlo

N1 - 8Pediatric Department, Bolzano Hospital, 39100 Bolzano, Italy

PY - 2024/1

Y1 - 2024/1

N2 - 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.

AB - 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.

KW - Humans

KW - Child

KW - Child, Preschool

KW - Anesthetics, Local/adverse effects

KW - Drug Hypersensitivity/diagnosis

KW - Skin

U2 - 10.24976/Discov.Med.202436180.2

DO - 10.24976/Discov.Med.202436180.2

M3 - Review article

C2 - 38273743

SN - 1539-6509

VL - 36

SP - 16

EP - 21

JO - DISCOVERY MEDICINE

JF - DISCOVERY MEDICINE

IS - 180

ER -

Local Anesthetic Hypersensitivity Reactions in Pediatric Patients: Recognition and Management

Abstract

Keywords

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