Successful Dental Treatments Using Procaine Hydrochloride in a Patient Afraid of Local Anesthesia but Consenting for Allergic Testing with Lidocaine: A Case Report.

IF 1.5 Q3 ANESTHESIOLOGY Local and Regional Anesthesia Pub Date : 2020-08-20 eCollection Date: 2020-01-01 DOI:10.2147/LRA.S268498
Terumi Ayuse, Shinji Kurata, Takao Ayuse
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引用次数: 1

Abstract

Background: We report a case in which effective dental anesthetic management was achieved using procaine hydrochloride for a patient who had an unknown history of allergic reactions to lidocaine.

Case presentation: Because the patient refused to undergo screening tests using any of the amide-type local anesthetics because of her extreme fear against local anesthetics that she had been administered previously, procaine hydrochloride, which is an ester-form local anesthetic, was the only agent to be tested on this patient at the department of dermatology. Consequent to a negative allergy test, we performed complete dental treatment using procaine hydrochloride after additional chairside drug challenge tests using minimum test dose under vital sign monitoring.

Conclusion: The success of dental treatment using procaine hydrochloride may have relieved the patient's fear of local anesthesia. We discuss an important aspect of treatment planning for patients with a history of complications during local anesthesia.

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普鲁卡因成功治疗害怕局麻但同意利多卡因过敏试验的患者一例。
背景:我们报告了一例使用盐酸普鲁卡因对利多卡因过敏史不明的患者进行有效的牙科麻醉管理的病例。病例介绍:由于患者对以前使用过的局麻药极度恐惧,拒绝使用任何酰胺型局麻药进行筛选试验,因此在皮肤科对该患者进行测试的唯一药物是酯型局麻药盐酸普鲁卡因。由于过敏试验呈阴性,我们在生命体征监测下使用最小试验剂量进行额外的椅边药物刺激试验后,使用盐酸普鲁卡因进行了完整的牙科治疗。结论:普鲁卡因治疗成功,减轻了患者对局部麻醉的恐惧。我们讨论了一个重要的方面,治疗计划的病人与历史的并发症在局麻。
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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
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