Re: epidural and dilation was epidural and food
From: Cesar Molina (cemolar777@gmail.com)
Mon Sep 18 11:20:28 2006
Of course; epidural analgesy is a very simple proccedure and is important
all residents learn to do it. But the anesthesiologist in my country has
"the monopoly" of the practice. Why? I used this proccedure in all the
patiens that I suspect that terrific pain is blocking the normal evolution
of labor.
2006/9/14, Joe Cutchin <forcep@intercom.net>:
>
> Good for you, Ron. In the 70's and 80's I didn't have problem with
> anesthesiologist : I did the epidurals and spinals myself. They were
> done when proper and needed , I didn't have to argue when and if. In the
> 90's the lawyers,insurance companies, and payment mechanisms decided
> that only the anesthesiologist were capable of doing them. So much for
> that. Joe C
>
> Ronald Ainsworth wrote:
> > Our anesthesiologists don't second guess us on when it is appropriate to
> > place an epidural. If I need a spinal or intrathecal when the patient
> > is complete, I do it myself
> >
> > "Elrod, Darryl G Maj 48 MDOS/SGOBO" <Darryl.elrod@LAKENHEATH.AF.MIL>
> wrote:
> >
> > But will they put in an epidural (or intrathecal) at any point
> > during labor? I had a CRNA recently tell me that he didn't feel
> > comfortable putting in intrathecals in the two women that I had that
> > had both gone from 2 to complete in just under 4 hours. Both pt's
> > first request for pain meds was at complete. He simply refused to
> > even see them to see if they would be a good candidate for an
> > intrathecal.
> >
> > Is anyone having difficulty on either side, meaning early epidurals
> > (2-3cm) or late (8-complete)?
> >
> > Glen
> >
> > //SIGNED//
> > D. Glen Elrod, Maj., USAF, MC
> > Obstetrician/Gynecologist
> > Chief of Obstetrics
> > 48 MDOS/SGOBO
> > RAF Lakenheath, England
> >
> > Telephone DSN: 314-226-8130
> > Comm: +44 (0) 1638 52 8130
> >
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> ------------------------------------------------------------------------
> > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> ------------------------------------------------------------------------
> > dmecnm@aol.com
> ------------------------------------------------------------------------
> > Sent: Thursday, September 14, 2006 7:14 AM
> > To: Multiple recipients of list OB-GYN-L
> > Subject: Re: epidural and food
> >
> > No, our anesthesiologists will put an epidural in anyone who
> > requests one, regardless of when the patient last ate.
> >
> > Denise, CNM
> > So Cal
> >
> > -----Original Message-----
> > From: agfolley@hotmail.com
> > To: ob-gyn-l@dns.obgyn.net
> > Sent: Wed, 13 Sep 2006 2:54 PM
> > Subject: Re: epidural and food
> > More specifially my question is "are your anesthesiologist refrainng
> > from giving someone an epidural who has eaten any solid foods in the
> > past 8 hours???? I can see once they get the epidural no solid food
> > etc.
> >
> > I still am not confident that not feeding a woman through 18 to 36
> > hours of labor other than clear liquids and IV D5 LR makes a lot of
> > sense and is good for her overall well being. I do not think there
> > is any literature to support this approach??!!?? andrew
> >
<br>> Sent: Thursday, September 14, 2006 7:14 AM<br>> To: Multiple recipients of list OB-GYN-L<br>> Subject: Re: epidural and food<br>><br>> No, our anesthesiologists will put an epidural in anyone who
<br>> requests one, regardless of when the patient last ate.<br>><br>> Denise, CNM<br>> So Cal<br>><br>> -----Original Message-----<br>> From: <a href="mailto:agfolley@hotmail.com">
agfolley@hotmail.com</a><br>> To: <a href="mailto:ob-gyn-l@dns.obgyn.net">ob-gyn-l@dns.obgyn.net</a><br>> Sent: Wed, 13 Sep 2006 2:54 PM<br>> Subject: Re: epidural and food<br>> More specifially my question is "are your anesthesiologist refrainng
<br>> from giving someone an epidural who has eaten any solid foods in the<br>> past 8 hours???? I can see once they get the epidural no solid food<br>> etc.<br>><br>> I still am not confident that not feeding a woman through 18 to 36
<br>> hours of labor other than clear liquids and IV D5 LR makes a lot of<br>> sense and is good for her overall well being. I do not think there<br>> is any literature to support this approach??!!?? andrew
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