Open AccessManagement 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/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 , obstetric anesthesia , medical history , past medical history , anaphylaxis , surgery , allergy , immunology , 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.