Re: epidural and dilation was epidural and food

From: Ronald Ainsworth (ainsron@sbcglobal.net)
Thu Sep 14 10:00:41 2006


Our anesthesiologists don't second guess us on when it is appropriate to place an epidural. If I need a spinal or intrathecal when the patient is complete, I do it myself

"Elrod, Darryl G Maj 48 MDOS/SGOBO" <Darryl.elrod@LAKENHEATH.AF.MIL> wrote: v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} st1\:*{behavior:url(#default#ieooui) } But will they put in an epidural (or intrathecal) at any point during labor? I had a CRNA recently tell me that he didn’t feel comfortable putting in intrathecals in the two women that I had that had both gone from 2 to complete in just under 4 hours. Both pt’s first request for pain meds was at complete. He simply refused to even see them to see if they would be a good candidate for an intrathecal.

Is anyone having difficulty on either side, meaning early epidurals (2-3cm) or late (8-complete)?

Glen

//SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England

Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130

Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer.

---------------------------------

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of dmecnm@aol.com --------------------------------- Sent: Thursday, September 14, 2006 7:14 AM

--
---------------------------------
To: Multiple recipients of list OB-GYN-L
Subject: Re: epidural and food

No, our anesthesiologists will put an epidural in anyone who requests one, regardless of when the patient last ate.

Denise, CNM

So Cal

-----Original Message----- From: agfolley@hotmail.com To: ob-gyn-l@dns.obgyn.net Sent: Wed, 13 Sep 2006 2:54 PM Subject: Re: epidural and food More specifially my question is "are your anesthesiologist refrainng from giving someone an epidural who has eaten any solid foods in the past 8 hours???? I can see once they get the epidural no solid food etc.

I still am not confident that not feeding a woman through 18 to 36 hours of labor other than clear liquids and IV D5 LR makes a lot of sense and is good for her overall well being. I do not think there is any literature to support this approach??!!?? andrew

---------------------------------

Check out the new AOL. Most comprehensive set of free safety and security tools, free access to millions of high-quality videos from across the web, free AOL Mail and more. ---------------------------------

---------------------------------





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:54:24 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.