Management of a Parturient with a History of Local Anesthetic Allergy | Zendy

Philip J. Balestrieri | Zendy; James Ferguson | Zendy

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Management of a Parturient with a History of Local Anesthetic Allergy

Author(s) -

Philip J. Balestrieri,

James Ferguson

Publication year - 2003

Publication title -

anesthesia and analgesia

Language(s) - English

Resource type - Journals

eISSN - 1526-7598

pISSN - 0003-2999

DOI - 10.1213/01.ane.0000058843.24914.c7

Subject(s) - medicine , anesthesia , local anesthetic , pregnancy , medical history , past medical history , obstetric anesthesia , surgery , genetics , biology

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.

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