A. True allergic reactions are common.
B. The amide class of local anesthetics is the most commonly implicated.
C. Most fatalities are due to drug overdose rather than allergic reaction.
D. Most complications involve the pulmonary system.
E. The initial symptoms of local anesthetic toxicity are nystagmus and seizures.
REFERENCES & ANSWER
Murakami C. S., Khosch M. M.: Local Anesthesia in Facial Plastic Surgery, Chapter 28 in Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Volume One, Third Edition, Mosby, pp. 567-568, 1998
Fletcher M. V.: Anesthesia in Facial Plastic Surgery, Chapter 17 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third Edition (Ira Papel, editor) , 2009, pp. 189-197
594) C Most fatalities are due to drug overdose rather than allergic reaction.
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