[Skip to Navigation]
[Skip to Navigation Landing]
June 1986

Anaphylactic Reaction to Lidocaine

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.

Arch Otolaryngol Head Neck Surg. 1986;112(6):671-673. doi:10.1001/archotol.1986.03780060083014

• 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)