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Re: Obstetric AnaestheticFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Mon Jul 22 11:10:54 1996
1. 30 years old healthy patient for dilatation and curettage > (D&C) for missed abortion, week 7.
What kind of anesthesia is the most appropriate?
> a: General, mask For this lady, I would insert laminaria, wait 3-5 hours and do a suction curettage under paracervical block in the office. This is the same thing as a routine requested Termination of pregnancy at 7 weeks. Why does she need a D & C in the hospital and why does she need more than a pudendal block ????????
2. Emergency C/S: Induction with thiopenthal and succinylcholine. The
> gynecologist intends to start surgery (skin cut) before the patient is If this is a true emergency to save the life of either the fetus or mother and 30-45 seconds will make a diference or if you are going to proceed with or without endotracheal intubation because of the emergency nature of the procedure, then don't wait. But more likely the only reason not to wait is because the surgeon is impatient, then you better wait until the airway is secured.
-- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R.Daniel Braun, MD FACOG "Money will buy you a fine dog, Clinical Professor but only love can make it wag its Department of OB/GYN tail" Indiana U. School of Medicine Richard "Kinky" Friedman OBGYN.net, International Representative, U.S. @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
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