Local anesthetic resistance in a Crohn's patient undergoing cesarean delivery

Soleil S Schutte; Tammy Euliano

doi:10.1136/rapm-2020-101516

Local anesthetic resistance in a Crohn's patient undergoing cesarean delivery

Reg Anesth Pain Med. 2020 Aug;45(8):669-670. doi: 10.1136/rapm-2020-101516. Epub 2020 May 23.

Authors

Soleil S Schutte¹, Tammy Euliano²

Affiliations

¹ Anesthesiology, University of Florida, Gainesville, Florida, USA.
² Anesthesiology, University of Florida, Gainesville, Florida, USA [email protected].

PMID: 32447291
DOI: 10.1136/rapm-2020-101516

Abstract

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.

Keywords: acute pain; anesthesia, local; injections, spinal; obstetrics.

Publication types

Case Reports

MeSH terms

Anesthesia, Local
Anesthesia, Spinal* / adverse effects
Anesthetics, Local / adverse effects
Cesarean Section
Crohn Disease* / diagnosis
Crohn Disease* / drug therapy
Female
Humans
Pregnancy

Substances

Anesthetics, Local