• Int J Obstet Anesth · Feb 2019

    Case Reports

    Anaesthetic implications of a patient with cold-induced anaphylaxis presenting to the labour ward.

    • L Starsmore and J Durbridge.
    • Chelsea and Westminster Hospital, Magill Department of Anaesthesia, London, United Kingdom. Electronic address: lorna.starsmore@nhs.net.
    • Int J Obstet Anesth. 2019 Feb 1; 37: 125-128.

    AbstractCold contact urticaria is a well described condition, with reactions ranging from localised wheals to systemic and anaphylactic reactions. Case reports involving anaesthetic care are rare. This report describes a patient with cold-induced urticaria with systemic reactions who had been advised to carry an adrenaline autoinjector. She presented to the labour ward out-of-hours and in established labour requesting epidural analgesia. She subsequently had an uneventful instrumental delivery following an epidural 'top-up'. This report focuses on the anaesthetic implications of her condition.Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

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