A case of true allergy to amide local anesthetics in a parturient
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 t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Journal of Obstetric Anaesthesia and Critical Care |
| Subjects: | |
| Online Access: | http://www.joacc.com/article.asp?issn=2249-4472;year=2024;volume=14;issue=1;spage=73;epage=75;aulast=Vijayan |
| _version_ | 1797246159989768192 |
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| author | Vijayanthi Vijayan Adethen Gunasekaran Sakthirajan Paneerselvam Kirthiha Govindaraj |
| author_facet | Vijayanthi Vijayan Adethen Gunasekaran Sakthirajan Paneerselvam Kirthiha Govindaraj |
| author_sort | Vijayanthi Vijayan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T19:38:23Z |
| format | Article |
| id | doaj.art-321c86e80d19420c99c1468b7fd843f9 |
| institution | Directory Open Access Journal |
| issn | 2249-4472 |
| language | English |
| last_indexed | 2024-04-24T19:38:23Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Obstetric Anaesthesia and Critical Care |
| spelling | doaj.art-321c86e80d19420c99c1468b7fd843f92024-03-25T11:28:14ZengWolters Kluwer Medknow PublicationsJournal of Obstetric Anaesthesia and Critical Care2249-44722024-01-01141737510.4103/JOACC.JOACC_10_23A case of true allergy to amide local anesthetics in a parturientVijayanthi VijayanAdethen GunasekaranSakthirajan PaneerselvamKirthiha GovindarajIgE-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.http://www.joacc.com/article.asp?issn=2249-4472;year=2024;volume=14;issue=1;spage=73;epage=75;aulast=Vijayanallergy testinganaphylaxislocal anestheticpregnancy |
| spellingShingle | Vijayanthi Vijayan Adethen Gunasekaran Sakthirajan Paneerselvam Kirthiha Govindaraj A case of true allergy to amide local anesthetics in a parturient Journal of Obstetric Anaesthesia and Critical Care allergy testing anaphylaxis local anesthetic pregnancy |
| title | A case of true allergy to amide local anesthetics in a parturient |
| title_full | A case of true allergy to amide local anesthetics in a parturient |
| title_fullStr | A case of true allergy to amide local anesthetics in a parturient |
| title_full_unstemmed | A case of true allergy to amide local anesthetics in a parturient |
| title_short | A case of true allergy to amide local anesthetics in a parturient |
| title_sort | case of true allergy to amide local anesthetics in a parturient |
| topic | allergy testing anaphylaxis local anesthetic pregnancy |
| url | http://www.joacc.com/article.asp?issn=2249-4472;year=2024;volume=14;issue=1;spage=73;epage=75;aulast=Vijayan |
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