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Re: C/S Under Local Anesthesia From: Douglas J. Krell MD (djkrell@ix.netcom.com) Mon Feb 7 09:59:51 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr.Horacio Velázquez: "Caso Clínico" Previous message: guy: "falgyl reaction for trich" Maybe in reply to: Gerald P. Rodriguez: "C/S Under Local Anesthesia" Yes I take 2 mg of Valium IV before I start the case. No. Seriously, I think it should be given to the mother as soon as the baby is out. Whatever you like. I can't remember what I used but I think it was a combination of narcotic and benzodiazepine. You'll get some retrograde amnesia of course. My experience has been that everyone, including the mother is so intent on getting that baby out, that endogenous endorphins leave everyone with a sense that all went as well as possible. Douglas Krell MD Paul Prior MD wrote: > 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? > > -- > 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: Dr.Horacio Velázquez: "Caso Clínico" Previous message: guy: "falgyl reaction for trich" Maybe in reply to: Gerald P. Rodriguez: "C/S Under Local Anesthesia"

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