Introduction
Key features
Local anesthetics are classified into two groups – amides and esters – depending upon the linkage in their intermediate chain
“Anesthetic allergies” vary from palpitations secondary to epinephrine and vasovagal reactions, to urticaria and anaphylaxis from preservatives or the local anesthetic (especially esters)
Additives to the local anesthetic include epinephrine, sodium
bicarbonate, and hyaluronidase
Nerve blocks are particularly helpful when performing procedures on the face, digits, and palmoplantar surfaces