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Re: Pitocin and epidural From: Charlie Chambers (cchamber@gorge.net) Tue May 31 20:54:59 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: qualifications" Previous message: Charlie Chambers: "Re: qualifications" In reply to: Cheri Van Hoover: "Re: Pitocin and epidural" Next in thread: GA12L@aol.com: "Re: Pitocin and epidural" In training at Utah, we used to call the decels the Post Epidrueal Obligatory Decel (PEOD). Can occur without pitocin involvement, therefore don't see the point of stopping the pitocin IV. Most would relate to the dilation of splanchnic vessels and resulting relative hypotension. That's why they can be minimized with adequate pre-hydration and typically will respond to ephedrine. ************************************************************************ **** Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ ******* On May 31, 2005, at 6:05 PM, Cheri Van Hoover wrote: > > GA12L@aol.com wrote: > >> By the way, what does an anaesthetist know about obstetrics? >> > > As a member of the University of California, San Francisco Faculty > OB/GYN group I had the privilege of working with Mark Rosen, one of > the editors of Shnider and Levinson's Anesthesia for Obstetrics. He > knows a hell of a lot about obstetrics, and even more about > anesthesia. > > This was one of the ideas that was being discussed quite a lot at UCSF > when I left. Uterine hyperstimulation immediately following combined > spinal/epidural procedures was being blamed for exactly the heart rate > patterns described in the previous post, and that hyperstimulation was > being blamed on parasympathetic blockade as a result of the rapid > relief of pain. We rarely turned off the Pitocin before the epidural > was administered, however. We were quick to turn it off or down when > those fetal heart patterns were observed and were not surprised to see > them. > > I haven't seen the articles supporting this practice so can't assist > with that. I can only say that this does not seem to be an isolated > belief. If your anesthesia team comes up with some good articles to > support this practice I hope you will share them with us. > > Cheri Van Hoover, CNM, MS > Faculty, Midwifery Institute at Philadelphia University > Next message: DoctorJoe@aol.com: "Re: qualifications" Previous message: Charlie Chambers: "Re: qualifications" In reply to: Cheri Van Hoover: "Re: Pitocin and epidural" Next in thread: GA12L@aol.com: "Re: Pitocin and epidural"

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