Re: Pitocin and epidural

From: RModugno@aol.com
Tue May 31 16:09:39 2005


In a message dated 5/31/2005 4:48:07 PM Eastern Standard Time, ainsron@sbcglobal.net writes:

What I want to know is the list member’s opinion on this question: Is there EBM that supports my anesthesiologist’s assertion that standard of care in 2005 is that pitocin should be turned off before he can start an epidural and for 30 minutes after the epidural has setup?

Hmmm, at our hospital where everyone is on pitocin and virtually everyone gets an epidural we have no such 'rule' but, we seem to have a heck of a lot of fetal heart rate abnormalities round about the time of epidural insertion. By golly, the anesthesiologist might have something! I wouldn't discount information from their meetings as anecdotal - but getting some EBM would be good! I'll ask our anesthesiologists.

Robert Modugno MD MBA FACOG Marietta, GA





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