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LCDR Kevin S. Kennedy, MC, USNR; CAPT Robert H. Cave, MC, USN

Arch Otolaryngol Head Neck Surg. 1986;112(6):671-673.

Abstract
• Lidocaine hydrochloride is an amide-type local anesthetic, commonly used for facial plastic as well as other surgical procedures. In an unusual case of reproducible anaphylactic reaction to lidocaine, early treatment with epinephrine, oxygenation, and intravenous fluid resuscitation resulted in relief of the symptoms. This case demonstrates the importance of sensitivity testing and choosing an appropriate alternative local anesthetic in a patient with a history of possible allergy to lidocaine.

(Arch Otolaryngol Head Neck Surg 1986;112:671-673)

Author Affiliations
From the Department of Otolaryngology, Head and Neck Surgery (Dr Kennedy), and the Section of Plastic Surgery, Department of Surgery (Dr Cave), Naval Hospital, Oakland, Calif.

Footnotes
Accepted for publication Oct 7,1985.

The opinions or assertions expressed herein are those of the authors and are not to be construed as official or as reflecting the views of the Department of the Navy or of the Department of Defense.

Reprint requests to Department of Otolaryngology, Head and Neck Surgery, Naval Hospital, Oakland, CA 94627-5000 (Dr Kennedy).

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