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Anesthesia and analgesia · May 2003
Case ReportsManagement of a parturient with a history of local anesthetic allergy.
- Philip J Balestrieri and J E Ferguson.
- Department of Anesthesiology, University of Virginia Health Systems, Charlottesville 22904, USA. pjb8y@virginia.edu
- Anesth. Analg. 2003 May 1;96(5):1489-90, table of contents.
ImplicationsThe 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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