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Re: Epidural in a 'infected' patient From: art fougner, md (evsono@pipeline.com) Wed Jan 18 10:41:01 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Epidural in a 'infected' patient" Previous message: art fougner, md: "Re: Epidural in a 'infected' patient" In reply to: Richard Chudacoff, MD: "Re: Epidural in a "infected" patient" Next in thread: Dr Eberhard Lisse: "Re: Epidural in a 'infected' patient" Reply: Dr Eberhard Lisse: "Re: Epidural in a 'infected' patient" The patient that is ... the anesthesia dept is covering its assets. Art At Wed, 18 Jan 2006, Richard Chudacoff, MD wrote: > >They are being lazy > >-- >Richard Chudacoff, MD, FACOG > > _____ > >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D. >Montgomery, M.D. >Sent: Wednesday, January 18, 2006 10:03 AM >To: Multiple recipients of list OB-GYN-L >Subject: Epidural in a "infected" patient > >Listers, > >I have a patient who came in with a classic pyelonephritis at 36 weeks >gestational age. Started IV antibiotics and she had gotten two doses. >Initially febrile, then spiked once and came back down since initiating the >antibiotics. Following the second dose of antibiotics, the patient had >PPROM and commenced into labor. Anesthesia refuses to perform any kind of >regional block, stating that she must be afebrile for 24 hours, on >antibiotics. I did a literature search, but did not come up with much. > >I have always been under the understanding that as long as antibiotics were >in the system, regional anesthesia carried little risk. > >Lynn > >Lynn D. Montgomery, M.D. > >Maternal-Fetal Medicine, OB/GYN > >Rocky Mountain Women's Health > >2835 Fort Missoula Rd., Suite 304 > >Missoula, Montana, 59804 > >406-549-0978 > >fax 406-549-0987 > >e-mail: apgar10@montanadsl.net > -- art fougner, md "I knew I was going to take the wrong train, so I left early." Lawrence Peter Berra Next message: Dr Eberhard Lisse: "Re: Epidural in a 'infected' patient" Previous message: art fougner, md: "Re: Epidural in a 'infected' patient" In reply to: Richard Chudacoff, MD: "Re: Epidural in a "infected" patient" Next in thread: Dr Eberhard Lisse: "Re: Epidural in a 'infected' patient" Reply: Dr Eberhard Lisse: "Re: Epidural in a 'infected' patient"

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