We report the use of the ester-linked local anesthetic, 2-chloroprocaine, for continuous epidural analgesia in a patient in labor with a history of allergic reaction to amide local anesthetics. The patient gave a reliable history of pruritus, hives, erythema, and swelling on her lower extremity after having received a preservative-free amide local anesthetic. This allergy had been confirmed by a dermatologist by her reports. The patient requested an epidural for labor analgesia that was placed successfully. After an initial bolus, a continuous infusion of 1.5% of 2-chloroprocaine was initiated to achieve satisfactory pain relief throughout an uneventful vaginal delivery.
From the *Department of Anesthesiology, Emory School of Medicine, Atlanta, Georgia; and †Department of Anesthesiology, Emory Center of Critical Care, Emory School of Medicine, Atlanta, Georgia.
Accepted for publication December 8, 2016.
The authors declare no conflicts of interest.
Address correspondence to Vanessa Moll, MD, Department of Anesthesiology, Emory Center of Critical Care, Emory School of Medicine, 1364 Clifton Rd, Atlanta, GA 30322. Address e-mail to firstname.lastname@example.org.