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Dr. Stein has been very fortunate not to have had an untoward anesthetic reaction as described in the article in his 28 years of practice. I agree that injection of anesthetic too fast can contribute to any of several side effects. The article did not address how fast the anesthetic was injected because this was not a controlled experiment. This was a clinical article describing a clinical side effect of a single injection.

Dr. Stein refers to a second injection given 30 seconds later. This was not performed clinically in this article, but was part of a reference to an earlier article.¹

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1. Dryden J. An unusual complication resulting from a Gow-Gates mandibular block. Compendium 1993;14(1):94–8.
   
   

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Webber, B. Search for Related Content PubMed Articles by Webber, B.