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Anesthetics allergy

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https://www.readbyqxmd.com/read/27688429/medical-emergencies-in-pediatric-dentistry
#1
REVIEW
Dubravka Negovetić Vranić, Josipa Jurković, Jesenka Jeličić, Antonija Balenović, Gordana Stipančić, Ivana Čuković-Bagić
Medical emergencies that are life threatening can occur in dental practice. Complications may arise because of an underlying disease or a reaction to medication. Reactions to medications may be allergic and toxic. The most common reactions are toxic reactions to local anesthetics, whereas allergies occur mainly as a consequence of the application of antibiotics, usually penicillin. In response to stress, vasovagal syncope typically occurs. Other causes may be related to an underlying disease-specific pathology (such as acute asthma attack, diabetic ketoacidosis, hypoglycemia, or seizures) or accidents (aspiration of a foreign body causing obstruction of the respiratory system)...
March 2016: Acta Stomatologica Croatica
https://www.readbyqxmd.com/read/27585420/benzodiazepine-allergy-with-anesthesia-administration-a-review-of-current-literature
#2
Elliot Haybarger, Andrew S Young, Joseph A Giovannitti
The incidence of anaphylactic/anaphylactoid reactions has been reported to vary between 1 : 3500 and 1 : 20,000 cases with a mortality rate ranging from 3 to 9%. Clinical signs present as skin rash, urticaria, angioedema, bronchospasm, tachycardia, bradycardia, and hypotension. Rapid identification and treatment are crucial to overall patient prognosis, as delayed intervention is associated with increased mortality. Diagnosis may be confirmed with clinical presentation, serum tryptase levels, and skin test results...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27563598/the-use-of-superficial-cervical-plexus-block-in-oral-and-maxillofacial-surgical-practice-as-an-alternative-to-general-anesthesia-in-selective-cases
#3
R Kamal Kanthan
AIM: (1) To assess the feasibility, safety, and effectiveness of superficial cervical plexus (SCP) block in oral and maxillofacial surgical (OMFS) practice as an alternative to general anesthesia in selective cases. (2) To assess any associated complication specifically related to the procedure. SUBJECTS AND METHODS: The total number of patients was 10, out of which 6 were male and 4 were female patients. Six patients had incision and drainage of perimandibular space infections, two patients had Level Ib cervical lymph node biopsies, one patient had enucleation of cyst in the body of mandible, one patient had open reduction and internal fixation isolated angle fracture...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27382817/peri-anesthesia-anaphylaxis-paa-we-still-have-not-started-post-paa-testing-for-inciting-anesthesia-related-allergens
#4
Taghreed Alshaeri, Deepak Gupta, Ananthamurthy Nagabhushana
Anaphylaxis during anesthesia is uncommon. Diagnosis of peri-anesthesia anaphylaxis (PAA) requires anesthesia providers' vigilance for prompt diagnosis and treatment. In this case report, we present a challenging case with suspected PAA including its perioperative management, intensive care unit (ICU) course, and post-discharge follow-up. A 44-year-old female (body mass index = 26) presented for elective abdominal panniculectomy. Post-intubation, severe bronchospasm occurred that was non-responsive to nebulized albuterol and intravenous epinephrine...
February 2016: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/27378513/allergy-to-local-anesthetics-reality-or-myth
#5
Jean-Marc Malinovsky, Anca M Chiriac, Charles Tacquard, Paul Michel Mertes, Pascal Demoly
The incidence of allergic reactions to local anesthetics is low. Most cases involve a psychogenic reaction rather than an allergic reaction. Additives and preservatives added to local anesthetics may cause allergic reactions. Vascular resorption of epinephrine-containing local anesthetics may produce cardiovascular signs similar to an allergic reaction. Diagnosis of allergy to local anesthetics must be established by skin testing and provocative challenge.
September 2016: La Presse Médicale
https://www.readbyqxmd.com/read/27276432/propofol-use-in-pediatric-patients-with-food-allergy-and-eosinophilic-esophagitis
#6
Pooja Mehta, Shikha Sundaram, Glenn T Furuta, Zhaoxing Pan, Dan Atkins, Scott Markowitz
Propofol is a safe, well-tolerated anesthetic that is labeled as contraindicated in patients with egg or soy allergy. This contraindication has become increasingly problematic given the rising incidence of food allergy and eosinophilic esophagitis (EoE). To address this issue, we studied practice patterns of propofol use for esophagogastroduodenoscopies (EGD) in children with EoE and food allergies at our institution. A retrospective observational study of 1365 EGDs from January 2013 to June 2014 was performed...
June 8, 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/27217646/acute-allergic-angioedema-of-upper-lip
#7
Kavitha Mahendran, Govindasway Padmini, Ramesh Murugesan, Arthiseethalakshmi Srikumar
Mishaps can occur during dental procedures, some owing to inattention to detail and others are totally unpredictable. They usually include anaphylaxis or allergic reactions to materials used for restorative purposes or drugs such as local anesthetics. A patient reported to our department with moderate dental fluorosis, and the treatment was planned with indirect composite veneering. During the procedure while cementation acute allergic reaction occurred, the specific cause could not be identified after allergic testing...
May 2016: Journal of Conservative Dentistry: JCD
https://www.readbyqxmd.com/read/27177436/suprascapular-nerve-block-versus-interscalene-block-as-analgesia-after-arthroscopic-rotator-cuff-repair-a-randomized-controlled-noninferiority-trial
#8
Asuka Desroches, Shahnaz Klouche, Charles Schlur, Thomas Bauer, Thomas Waitzenegger, Philippe Hardy
PURPOSE: To compare the efficacy of suprascapular nerve block (SSB) and interscalene block (ISB) as postoperative analgesia within the first 24 hours after arthroscopic supraspinatus and/or infraspinatus tendon repair. METHODS: A single-blind, randomized controlled study was performed between 2013 and 2014. The inclusion criteria were arthroscopic supraspinatus and/or infraspinatus tendon repair confirmed intraoperatively, with or without associated procedures, and informed consent...
May 10, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27103909/occupational-health-related-concerns-among-surgeons
#9
REVIEW
Anjuman Gul Memon, Zahid Naeem, Atif Zaman, Faryal Zahid
The surgeon's daily workload renders him/her susceptible to a variety of the common work-related illness. They are exposed to a number of occupational hazards in their professional work. These hazards include sharp injuries, blood borne pathogens, latex allergy, laser plumes, hazardous chemicals, anesthetic gases, equipment hazards, static postures, and job related stressors. However, many pay little attention to their health, and neither do they seek the appropriate help when necessary. It is observed that occupational hazards pose a huge risk to the personal well-being of surgeons...
April 2016: International Journal of Health Sciences
https://www.readbyqxmd.com/read/27040628/the-responses-of-pulmonary-and-systemic-circulation-and-airway-to-allergic-mediators-in-anesthetized-rats
#10
Mofei Wang, Toshishige Shibamoto, Yuhichi Kuda, Mamoru Tanida, Tao Zhang, Jie Song, Kiyotaka Mukai, Yasutaka Kurata
Lung allergic diseases sometimes accompany pulmonary vaso- and broncho-constriction. Rats are currently used for the experimental study of lung allergies. However, their hemodynamic mechanisms are not fully understood. Therefore the effects of allergic mediators were determined systematically in vivo in rats in terms of pulmonary vascular resistance (PVR), airway pressure (AWP) and total peripheral resistance (TPR). We directly measured pulmonary arterial pressure, left atrial pressure, systemic arterial pressure, central venous pressure and aortic blood flow to determine PVR and TPR, as well as AWP, following injections of platelet-activating factor (PAF), histamine, serotonin, leukotriene (LT) C4, and prostaglandin (PG) D2 in anesthetized open-chest artificially ventilated Sprague-Dawley (SD) rats...
2016: Biological & Pharmaceutical Bulletin
https://www.readbyqxmd.com/read/27039233/allergy-to-several-local-anesthetics-from-the-amide-group
#11
Javier Domínguez-Ortega, Elsa Phillips-Angles, Miguel González-Muñoz, Rocío Heredia, Ana Fiandor, Santiago Quirce
No abstract text is available yet for this article.
July 2016: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/26983093/lidocaine-allergy-do-positive-patch-results-restrict-future-use
#12
Michael Domenic Corbo, Elizabeth Weber, Joel DeKoven
BACKGROUND: Adverse reactions from lidocaine are commonly reported. When allergy is suspected, patients may be referred for specific skin testing to confirm the association of their clinical findings. OBJECTIVE: We aimed to investigate 13 cases of suspected lidocaine allergy to analyze if positive patch results restricted future use as an injectable local anesthetic. METHODS: A prospective study was conducted from March 2013 to September 2014 at 2 academic hospital-based patch test clinics in Toronto...
March 2016: Dermatitis
https://www.readbyqxmd.com/read/26920416/treatment-of-convulsive-status-epilepticus
#13
Eric H Grover, Yara Nazzal, Lawrence J Hirsch
Convulsive status epilepticus (CSE) is a medical emergency with an associated high mortality and morbidity. It is defined as a convulsive seizure lasting more than 5 min or consecutive seizures without recovery of consciousness. Successful management of CSE depends on rapid administration of adequate doses of anti-epileptic drugs (AEDs). The exact choice of AED is less important than rapid treatment and early consideration of reversible etiologies. Current guidelines recommend the use of benzodiazepines (BNZ) as first-line treatment in CSE...
March 2016: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/26866410/cardiovascular-collapse-associated-with-irreversible-cardiomyopathy-chronic-renal-failure-and-hypertension-during-routine-dental-care
#14
Sean Thoms, Matthew Cooke, James Crawford
Patients with multiple comorbid conditions visit the dental office every day, and although rare, complications from their conditions may occur during treatment. A case is presented of a 65-year-old African American woman with a history of severe cardiovascular disease, renal disease, and a reported local anesthetic allergy who experienced complete cardiovascular collapse during routine dental treatment from which she was successfully resuscitated. Treating clinicians should recognize the emerging symptoms and be proficient with a basic and advanced cardiac life support protocol to care for their patients safely and effectively until they can be transported to more advanced care facilities...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/26785079/immediate-reaction-to-lidocaine-with-periorbital-edema-during-upper-blepharoplasty
#15
Benjamin Presman, Vincenzo Vindigni, Ilaria Tocco-Tussardi
INTRODUCTION: Blepharoplasty is the fourth most commonly performed cosmetic surgery in the US, with 207,000 operations in 2014. Lidocaine is the preferred anesthetic agent for blepharoplasty. PRESENTATION OF CASE: We describe the unusual case of acute periorbital edema following local anesthesia with lidocaine for upper blepharoplasty. At present, only two other reports of periorbital reactions to lidocaine are present in the literature. The reactions observed are significant palpebral swelling and erythema with scaling of the cheek...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26783690/identifying-and-managing-local-anesthetic-allergy-in-dermatologic-surgery
#16
REVIEW
Ramin Fathi, Marc Serota, Mariah Brown
BACKGROUND: Local anesthetic (LA) allergy is a concern for dermatologic surgeons given the large number of procedures performed yearly with LAs. Many patients also have anxiety about past or potential anesthesia allergy. OBJECTIVE: This article will review the symptoms of IgE-mediated allergic reactions, the prevalence of IgE-mediated LA allergy, discuss common mimics of LA, and propose a practical approach for diagnostic and therapeutic options for LA allergy for the dermatologic surgeon in practice...
February 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/26535092/hemodynamic-changes-following-injection-of-local-anesthetics-with-different-concentrations-of-epinephrine-during-simple-tooth-extraction-a-prospective-randomized-clinical-trial
#17
Nedal Abu-Mostafa, Fatimah Al-Showaikhat, Fatimah Al-Shubbar, Kawther Al-Zawad, Fatimah Al-Zawad
BACKGROUND: Presence of epinephrine in local anesthetic cartridge increases the duration of local anesthesia (LA), decreases the risk of toxicity, and provides hemostasis. However, the unfavorable effects are increasing heart rate (HR) and raising blood pressure (BP). The aim was to evaluate hemodynamic changes in the BP, HR, and oxygen saturation (SpO2) of normal patients undergoing tooth extraction using LA with various epinephrine concentrations. MATERIAL AND METHODS: A prospective randomized clinical trial was conducted on 120 patients who were divided randomly into 3 parallel groups according to the LA received...
October 2015: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/26164784/safety-and-efficacy-of-a-needle-free-powder-lidocaine-delivery-system-in-pediatric-patients-undergoing-venipuncture-or-peripheral-venous-cannulation-randomized-double-blind-comfort-004-trial
#18
RANDOMIZED CONTROLLED TRIAL
Michael L Schmitz, William T Zempsky, James M Meyer
PURPOSE: The goal of this study was to determine if a lidocaine hydrochloride monohydrate powder intradermal system designed to provide cutaneous analgesia is efficacious, safe, and tolerable for pediatric subjects compared with a sham placebo system. METHODS: COMFORT-004, A Phase III, Randomized, Double-Blind, Placebo-Controlled Study to Confirm the Effectiveness and Safety of ALGRX 3268 in Pediatric Subjects, was a single-dose, parallel group study of children undergoing venipuncture or peripheral venous cannulation at the antecubital fossa or back of the hand...
August 2015: Clinical Therapeutics
https://www.readbyqxmd.com/read/26160029/management-of-anesthesia-in-adult-and-pediatric-mastocytosis-a-study-of-the-spanish-network-on-mastocytosis-rema-based-on-726-anesthetic-procedures
#19
Almudena Matito, José Mario Morgado, Paula Sánchez-López, Iván Álvarez-Twose, Laura Sánchez-Muñoz, Alberto Orfao, Luis Escribano
BACKGROUND: The role of anesthesia as an elicitor of mast cell (MC) mediator release symptoms in mastocytosis is poorly investigated. OBJECTIVE: To determine the frequency and type of MC mediator release symptoms during anesthetic procedures in mastocytosis patients. METHODS: Medical records were reviewed regarding the anesthetic techniques for 501 mastocytosis patients (459 adults and 42 children; 95 and 5% with systemic involvement, respectively) who were subjected to 676 and 50 anesthetic techniques, respectively...
2015: International Archives of Allergy and Immunology
https://www.readbyqxmd.com/read/26136796/pre-operative-diclofenac-hp%C3%AE-cd-for-pain-control-of-needle-biopsy-in-musculoskeletal-neoplasm-preliminary-results
#20
Antonio D'Arienzo, Giovanni Beltrami, Daniele Mancini, Guido Scoccianti, Pierluigi Cuomo, Francesco Muratori, Davide Matera, Massimiliano Ippolito, Nicola Mondanelli, Filippo Frenos, Francesca Totti, Rodolfo Capanna
Needle biopsy is the main standard method used for diagnosis of musculoskeletal tumors of the limbs and superficial trunk. Pain control during this procedure is through the use of Local Anaestetic (L.A.). In order to achieve a complete pain control in our cases, recently we started using diclofenac HPβCD 50 mg via s.c. preoperativly. We present the clinical results of a non-randomized study of two eterogeneous groups of patients: "Experimental" Group (1): diclofenac HPβCD 50 mg via s.c. one hour before surgical procedure, local anesthesia and ev...
January 2015: Clinical Cases in Mineral and Bone Metabolism
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