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Re: Policy needed for Nitroglycerine for head entrapment From: Lyndon Taylor (lyndontaylor@msn.com) Sun Sep 3 11:25:54 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Policy needed for Nitroglycerine for head entrapment" Previous message: DoctorJoe@aol.com: "Re: FRI: Re: One layer uterine closure" Maybe in reply to: GIN11153@aol.com: "Policy needed for Nitroglycerine for head entrapment" Next in thread: Andrew Folley: "Re: Policy needed for Nitroglycerine for head entrapment" Reply: Andrew Folley: "Re: Policy needed for Nitroglycerine for head entrapment" Reply: Raymond Stephen: "Re: Policy needed for Nitroglycerine for head entrapment" a.. If the head is entrapped, we suggest administering a uterine relaxant (Grade 2C<http://www.utdol.com/utd/content/image.do?imageKey=requ_pix/grade_13gif>). Options include a beta adrenergic agonist (eg, terbutaline<http://www.utdol.com/utd/content/topic.do?topicKey=Drug_L_Z/255495&drug=true> 0.25 mg subcutaneously or 2.5 to 10 mcg/minute intravenously) or nitroglycerin<http://www.utdol.com/utd/content/topic.do?topicKey=Drug_L_Z/182768&drug=true> (50 to 200 mcg intravenously). If this intervention does not enable prompt delivery of the head and the fetus is viable, we suggest replacing the body of the fetus in the uterus before proceeding to cesarean delivery (Grade 2C<http://www.utdol.com/utd/content/image.do?imageKey=requ_pix/grade_13gif>) (see "Head entrapment" above<http://www.utdol.com/utd/content/topic.do?topicKey=pregcomp/17267&view=print#9>). Lyndon Taylor MD Oak Park, Illinois > ----- Original Message ----- From: GIN11153@aol.com<mailto:GIN11153@aol.com> To: Multiple recipients of list OB-GYN-L<mailto:ob-gyn-l@dns.obgyn.net> Sent: Saturday, September 02, 2006 1:23 PM Subject: Policy needed for Nitroglycerine for head entrapment Does anyone have a policy to share? We had a 25 weeker demise that delivered breech this past week and head became entrapped. Staff and doctor didn't know about giving IV nitro but I had learned about it over a year ago on a legal case. Gail Neuman RNC CPHW SNP LNC student nurse practitioner and student midwife listowner of LegalNurseConsulting@yahoogroups.com certified high risk OB/legal nurse consultant Perinatal Nurse Associates Notary Public/Certified Loan Signing Agent PrePaid Legal Sales Associate Santa Ana, CA Next message: Andrew Folley: "Re: Policy needed for Nitroglycerine for head entrapment" Previous message: DoctorJoe@aol.com: "Re: FRI: Re: One layer uterine closure" Maybe in reply to: GIN11153@aol.com: "Policy needed for Nitroglycerine for head entrapment" Next in thread: Andrew Folley: "Re: Policy needed for Nitroglycerine for head entrapment" Reply: Andrew Folley: "Re: Policy needed for Nitroglycerine for head entrapment" Reply: Raymond Stephen: "Re: Policy needed for Nitroglycerine for head entrapment"

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