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Re: C/S Under Local Anesthesia From: Gerald P. Rodriguez (geraldpr@cybermesa.com) Sun Feb 6 23:11:34 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodriguez: "Re: Anterior Urethral Diverticulum" Previous message: Efrain Ramirez: "Re: Fetal Lung Maturity Question" Maybe in reply to: Gerald P. Rodriguez: "C/S Under Local Anesthesia" Next in thread: Douglas J. Krell MD: "Re: C/S Under Local Anesthesia" I would agree with Dan re a midline incision; i.e., fewer nerves are cut across. I also believe Gilbert Webb of San Francisco was talking about a method of C/S under local which was done (at least in San Francisco) for non-urgent C/S in the 50's and 60's. There was a time, when C/S under general acquired a bad rep because of aspiration problems. Also, I believe the professor and chairman at the Univ. of Minnesota in that era (?McKelvey) promulgated routine C/S under local and I think the secret was to take lots and lots of time to allow for the local to take effect. This, I will admit, is of not much help in a crash situation for a problematic VBAC, but it is something to think about from time to time, especially in small hospitals where anesthesia is not always immediately available. -- Gerald P. Rodriguez, M.D., FACOG +++++++++++++++++++++++++++++++++++++++++++++++ "Idealism is fine, but as it approaches reality the cost becomes prohibitive."--Wm. F. Buckley "¿Qúe es un pedo pa' tanta naríz?"--quien sabe quien lo dijo +++++++++++++++++++++++++++++++++++++++++++++++ >----- Original Message ----- From: Braun, R. Daniel <rbraun@iupui.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Sunday, February 06, 2000 8:10 PM Subject: Re: C/S Under Local Anesthesia > It probably doesn't make a whole lot of diference, because either way there > are a lot of nerves. I would think fewer with a midline because like blood > vessels, they probably don't cross the midline very much. > > Dan > > -----Original Message----- > From: Paul Prior MD > To: Multiple recipients of list OB-GYN-L > Sent: 2/6/00 1:33 PM > Subject: Re: C/S Under Local Anesthesia > > On Sun, 6 Feb 2000 09:06:24 -0600, jane@seasonedsystems.com (Jane > Helwig, MD) wrote: > > >3. Only works with vertical incision > > Given the dermatome innervation it would seem that a transverse > incision might be better rendered anesthetized by local injection than > a vertical. I wonder if anyone might comment on this. Now put aside > the argument about vertical vs. pfannensteil incisions for stat > sections for the moment with regards to speed of entry. > > -- > Paul Prior MD Get rebates on online purchases - up to 25% cash back. > Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, > petstore > Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many > more. > so spam away... try: > http://www.ebates.com/index.jhtml?referrer=pprior > Next message: Gerald P. Rodriguez: "Re: Anterior Urethral Diverticulum" Previous message: Efrain Ramirez: "Re: Fetal Lung Maturity Question" Maybe in reply to: Gerald P. Rodriguez: "C/S Under Local Anesthesia" Next in thread: Douglas J. Krell MD: "Re: C/S Under Local Anesthesia"

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