| Autor: |
Vijayanthi Vijayan, Adethen Gunasekaran, Sakthirajan Paneerselvam, Kirthiha Govindaraj |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Journal of Obstetric Anaesthesia and Critical Care, Vol 14, Iss 1, Pp 73-75 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2249-4472 |
| DOI: |
10.4103/JOACC.JOACC_10_23 |
| Popis: |
IgE-mediated hypersensitivity reactions to amide local anesthetics (LAs) are very rare events in anesthesia practice. When such a reaction occurs, anesthesiologists are often left with numerous confounding causes of adverse e after LA administration. Most times, such reactions result from systemic toxicity or non-hypersensitivity reactions. In the event of a true allergy to LA molecules, subsequent administration of the same drug can lead to life-threatening complications. Herewith, we report the successful diagnosis of LA allergy in a parturient who had a history of anaphylaxis following the administration of subarachnoid block with an unknown drug elsewhere. She presented to our institute for her second cesarean section. Skin prick testing was done after a dermatology consultation, which revealed a positive response to lignocaine, bupivacaine, and ropivacaine (preservative-free). She was taken up for elective cesarean section under general anesthesia with complete avoidance of LAs. Postoperative analgesia was instituted with intravenous patient-controlled fentanyl administration. The procedure and recovery were uneventful and both mother and baby were discharged without any issues. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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