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Re: Analgesia for Vag Hysts From: Gail Waldby (gwaldby@willinet.net) Mon Sep 8 14:04:59 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: malpractice insurance" Previous message: Joe Cutchin: "malpractice insurance" In reply to: Douglas Krell: "Re: Analgesia for Vag Hysts" Doug et al, we tried this with lap choles, but someone studied it and found it didn't really work. The hope was that it would reduce the shoulder pain from the CO2. Gail Waldby, MD Huron Clinic SD Douglas Krell wrote: > I think that "spraying" the peritotneal surfaces liberally with .25% > Marcaine is probably as effective as injecting the pedicles and > risking a vascular perforation and resultant hematoma. > > Douglas Krell MD > >> ----- Original Message ----- > From: ND84MD@aol.com <mailto:ND84MD@aol.com> > To: Multiple recipients of list OB-GYN-L > <mailto:ob-gyn-l@dns.obgyn.net> > Sent: Sunday, September 07, 2003 1:29 PM > Subject: Re: Analgesia for Vag Hysts > > In a message dated 9/5/03 2:45:52 PM, apgar10@montanadsl.net > <mailto:apgar10@montanadsl.net> writes: > >> technique of injecting the pedicles, as I did my hyst, with >> local anesthetic. > > goes back to the old "gate theory"-- if the nervous system never > perceives pain, even if the patient is unconscious, she will feel > less post-op. the local meds keep the pain sensors from firing and > thus she will feel better post op. i use a similar technique on > all my vaginal cases and for port sites on scopes. > Next message: art fougner, md: "Re: malpractice insurance" Previous message: Joe Cutchin: "malpractice insurance" In reply to: Douglas Krell: "Re: Analgesia for Vag Hysts"

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