Successful antepartum de-labelling of local anaesthetic allergy in a parturient with a self-reported allergy to amide and ester local anaesthetics

When a pregnant patient is diagnosed with a local anaesthetic (LA) allergy, it may preclude the use of neuraxial techniques, which are the current gold standard for labour analgesia and anaesthesia in the obstetric population.1 In practice, some of the reported “allergies” occurred during childhood with unclear medical history, and it can be difficult for clinicians to obtain clinical details from other medical institutions. The use of LA allergy testing may be an option for anaesthetists to potentially remove the allergy label from patients with uncle ar reaction histories.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research