Evidence map›Paper›PMID 29952645›Full record

ReviewAnesthesia progress2018

True Allergy to Amide Local Anesthetics: A Review and Case Presentation.

Babak Bina, Elliot V Hersh, Micael Hilario, Kenia Alvarez, Bradford McLaughlin

Abstract readCase ReportsReview
In one paragraph

Review in Anesthesia progress, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A protocol proposal for safe dental anaesthesia in paediatric patients with allergic backgrounds: insights from a case series of allergic patients.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
  4. Acute respiratory distress syndrome after administration of lidocaine in bronchoscopy.Lung India : official organ of Indian Chest Society · 2026
    Article
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  10. Article
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  13. Review
  14. Article
  15. Review
  16. Article
  17. Current Evidence Involving WALANT Surgery.Journal of hand surgery global online · 2022
    Review
  18. Local Anesthesia in Interventional Radiology.Seminars in interventional radiology · 2022
    Review
  19. Review
  20. Adverse effects following dental local anesthesia: a literature review.Journal of dental anesthesia and pain medicine · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Babak BinaDirector General Practice Residency, NYU Lutheran, Brooklyn, New York.
Elliot V HershProfessor of Oral Surgery and Pharmacology, University of Pennsylvania School of Dental Medicine, Philadelphia.
Micael HilarioPGY3 Periodontal Chief Resident, NYU Lutheran, Brooklyn, New York, and.
Kenia AlvarezPGY3 Periodontal Chief Resident, NYU Lutheran, Brooklyn, New York, and.
Bradford McLaughlinPGY2 General Practice Chief Resident, NYU Lutheran, Brooklyn, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse reactions to local anesthetics are usually a reaction to epinephrine, vasovagal syncope, or overdose toxicity. Allergic reactions to local anesthetics are often attributed to additives such as metabisulfite or methylparaben. True allergic reactions to amide local anesthetics are extremely rare but have been documented. Patients with true allergy to amide local anesthetics present a challenge to the dental practitioner in providing adequate care with appropriate intraoperative pain management. Often, these patients may be treated under general anesthesia. We report a case of a 43-year-old female patient that presented to NYU Lutheran Medical Center Dental Clinic with a documented history of allergy to amide local anesthetics. This case report reviews the use of 1% diphenhydramine with 1:100,000 epinephrine as an alternative local anesthetic and reviews the relevant literature.

Indexed as

Oral Surgical ProceduresAdultAnesthesia, DentalAnesthetics, LocalContraindications, DrugDiphenhydramineDrug HypersensitivityFacial PainFemaleHumansLidocainePain MeasurementPostoperative PainTreatment OutcomeAnesthetics, LocalDiphenhydramineLidocaineAllergyDiphenhydramineLidocaineLocal anesthetic

Identifiers

PMID29952645
PMCPMC6022794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.