Re: C/S Under Local Anesthesia

From: Paul Prior MD (pprior@earthlink.net)
Sun Feb 6 11:34:06 2000


On Sun, 6 Feb 2000 12:18:12 -0600, "Douglas J. Krell MD" <djkrell@ix.netcom.com> wrote:

>I've done 2 of these at PHS hospitals when no anesthesia was available.
>Gil Web is wasting time, in my opinion. Just inject 1% xylocaine subQ in a straight shot
>umbilicus to pubis. Do the same to the fascia. Simply squirt xylocaine over the surface of the
>lower uterine segment and any other peritoneal surface you see. You get instant peritoneal
>anesthesia to make a small bladder flap, incise the uterus and deliver the baby. Start pitocin
>as the baby is being delivered and the placenta will be squeezed out by the contracting uterus
>with minimal blood loss as you are waiting for anesthesiology to arrive.
>
>Douglas Krell MD

What about IV sedation / versed etc? Do you give any?

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