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Re: Pitocin and epiduralFrom: ainsron (ainsron@sbcglobal.net)Tue May 31 15:09:22 2005
He said that recent anesthesiology meetings he has attended recommend it for spinals and combined spinal epidurals, stating that when they set up, the parasympathetic blockade has a potential for causing hyperstimulation, late decals, etc. I said, show me article supporting that recommendation, not just anecdotes. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Tuesday, May 31, 2005 11:48 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Pitocin and epidural In a message dated 5/31/05 1:44:20 PM, ainsron@sbcglobal.net writes: One of our anesthesiologists recently began requiring that pitocin be turned off prior to placement of an epidural and not restarted until 30 minutes after onset of analgesia due to risk of hypertonic contractions and fetal bradycardia. Does anyone have any references to support that practice? To me, it seems like a waste of time, as many of these patients are on pitocin at maximal doses and to have to restart it and go back up per protocol is time-consuming. I would imagine he's worried about confusing any effects of contractions with the effects of the epidural and possible hypotension. Or does he say something different? Joe P.
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