Publications by authors named "Micah K de Valle"

Introduction Local anesthetic systemic toxicity (LAST) is a rare complication of regional anesthesia. Pregnancy is a risk factor due to gestational physiologic changes. Labor and disorders of pregnancy can mask or delay symptoms of LAST, slowing appropriate intervention.

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Article Synopsis
  • Hereditary angioedema (HAE) is a rare condition characterized by a deficiency in C1 esterase inhibitor, leading to recurrent episodes of swelling, which can worsen during pregnancy due to hormonal changes and stress.
  • A case study describes a pregnant patient with HAE who successfully had a vaginal delivery with neuraxial anesthesia, highlighting the importance of C1-inhibitor prophylaxis and postpartum monitoring.
  • Effective management of HAE during pregnancy and delivery requires timely consultations, access to emergency airway supplies, and a coordinated approach among healthcare providers to ensure the safety of both the mother and baby.
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