Management of a parturient with a history of local anesthetic allergy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 12707155.
- Also identified by DOI 10.1213/01.ANE.0000058843.24914.C7.
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Abstract
The management of parturients with a strong history of allergy to local anesthetics poses significant challenges to the obstetric anesthesiologist. We recommend that when such patients have a strong desire to receive labor analgesia with local anesthetics, they undergo provocative challenge testing with preservative-free bupivacaine performed in labor and delivery with preparations for emergent cesarean delivery after 24-wk gestation.
Medical subject headings
- Anesthesia, Obstetrical
- Anesthesia, Spinal
- Anesthetics, Local
- Drug Hypersensitivity