Management of a parturient with a history of local anesthetic allergy.
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.
Balestrieri
Philip J
PJ
Departments of Anesthesiology and Obstetrics, University of Virginia Health Systems, Charlottesville.
Ferguson
J E
JE
D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D008991:Monitoring, Physiologic; D011247:Pregnancy; D012882:Skin Tests
D000779:Anesthetics, Local