Local anesthetic resistance in a Crohn's patient undergoing cesarean delivery.
| Autor: | Schutte SS; Anesthesiology, University of Florida, Gainesville, Florida, USA., Euliano T; Anesthesiology, University of Florida, Gainesville, Florida, USA teuliano@anest.ufl.edu. |
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| Jazyk: | angličtina |
| Zdroj: | Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2020 Aug; Vol. 45 (8), pp. 669-670. Date of Electronic Publication: 2020 May 23. |
| DOI: | 10.1136/rapm-2020-101516 |
| Abstrakt: | Introduction: Patient resistance to local anesthetics is rarely considered as the cause of regional anesthesia failure. Case Report: We report a case of resistance to local anesthetics in a patient with Crohn's disease who underwent cesarean section under continuous spinal anesthesia. Discussion: Resistance to local anesthetics may be more common than we think, especially among patients with chronic pain. Providers should consider local anesthetic resistance when regional anesthesia is unsuccessful. Further research is needed to determine if skin wheal tests and/or a different local anesthetic could improve results. Competing Interests: Competing interests: None declared. (© American Society of Regional Anesthesia & Pain Medicine 2020. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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