Continuous microcatheter spinal anesthesia with subarachnoid meperidine for labor and delivery.

The patient was a 28-yr-old, white, gravida 1 para 0, 176.3-cm, 73.8-kg woman who was seen in consultation at 38 wk gestation because of a history of ”allergy to local anesthetics.” She had a history of mild asthma since childhood for which she used a metaproterenol inhaler as necessary, but had never been admitted to a hospital for treatment of asthma. She reported allergies to povidone-iodine solution, tetracycline, erythromycin, lidocaine, and “Novocaine” manifested by rash and urticaria. In addition, she reported an extrapyramidal reaction to proclorperazine. Six months earlier she had suffered an apparent allergic reaction in a dentist’s office when given a maxillary injection of local anesthetic. She developed a rash and hives on her neck, face, arms, and trunk that subsided after several hours. The

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[12]  Kuhnert Philipson EH.  Title : EXPOSURE OF MOTHER , FETUS AND NEONATE TO MEPERIDINE AND NORMEPERIDINE FOLLOWING MULTIPLE DOSES DURING LABOR , 2022 .