Anesthetic management during labor and delivery of a parturient after severe burn injury presents many unique challenges. We report the case of a 25-year-old parturient with a history of 85-90% total body surface area burn in 2002, who presented for a pre-delivery anesthesia evaluation. We outline the management plan that was devised and resulted in adequate labor analgesia. There are few cases in the literature reporting the use of an epidural catheter for labor analgesia and possible Cesarean section in post-burn patients. We suggest that it is important to perform a thorough assessment of post-burn parturients prior to the onset of labor. This assessment is useful in revealing potential limitations and complications that could arise during labor and delivery; thus allowing preparations to be made for interventions that may become necessary.
Epidural analgesia; Burns; Pregnancy