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Re: Policy needed for Nitroglycerine for head entrapment From: Henry Gregor (henrygregor@yahoo.com) Mon Sep 4 19:21:35 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Medical Economics: Sued? You may never get your day in court" Previous message: Raymond Stephen: "Re: One layer uterine closure" In reply to: art fougner, md: "Re: Policy needed for Nitroglycerine for head entrapment" Next in thread: Raymond Stephen: "Re: Policy needed for Nitroglycerine for head entrapment" SIlly....inhalation's just for disco clubs.... Hank "art fougner, md" <evsono@pipeline.com> wrote: Why not simply use amyl nitrite inhalation? Art At Sun, 03 Sep 2006, Andrew Folley wrote: > >A good trick to remember is the nitro for relaxation. Draw up 5 mg nitro >and put in 100cc saline (stirred not shaken...kidding) and draw up 20cc >(20mcg) of this solution and give IV. > >>From: "Lyndon Taylor" >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L >>Subject: Re: Policy needed for Nitroglycerine for head entrapment >>Date: Sun, 3 Sep 2006 11:26:50 -0500 >> >>a.. If the head is entrapped, we suggest administering a uterine relaxant >>(Grade >>2C). >>Options include a beta adrenergic agonist (eg, >>terbutaline >>0.25 mg subcutaneously or 2.5 to 10 mcg/minute intravenously) or >>nitroglycerin >>(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) >>(see "Head entrapment" >>above). >>Lyndon Taylor MD >>Oak Park, Illinois > >>>> ----- Original Message ----- >> From: GIN11153@aol.com >> To: Multiple recipients of list OB-GYN-L >> 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 > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: ainsron: "Re: Medical Economics: Sued? You may never get your day in court" Previous message: Raymond Stephen: "Re: One layer uterine closure" In reply to: art fougner, md: "Re: Policy needed for Nitroglycerine for head entrapment" Next in thread: Raymond Stephen: "Re: Policy needed for Nitroglycerine for head entrapment"

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