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Re: Obstetric Anaesthetic From: sanbonav@mbox.vol.it Sat Jul 27 17:12:55 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Francisco L. Romero: "Re: Milk in the bladder" Previous message: Mickie Berman: "Re: ob-gyn publications on the web" Maybe in reply to: Dr Eberhard W Lisse: "Obstetric Anaesthetic" At 10.02 24/07/96 -0500, you wrote: >A >>question: >>>2. Emergency C/S: Induction with thiopenthal and succinylcholine. The >>> gynecologist intends to start surgery (skin cut) before the patient is >>> intubated. >>> Would you let him proceed, or do you tell him to wait, until the >>> patient's airway is secured? >>answer: >>In the end it's the anaesthetist's decision. Nobody can force you to allow >him to cut >>until you have the airway secured. What do your country's guidelines say? > >I would never start a C-Section under general anesthesia until the >endotracheal tube is inserted. The mother's airway always takes precedence >over getting the baby out. The additional time it takes to secure the airway >won't make a difference to the baby in the long run. > >Robert Brenner MD FACOG >Baltimore MD >Robbrenner@earthlink.net > >my opinion: >I agree with Robert Brenner.In my hospital there has been a mother's death (about >twenty five years ago) because C-section has began before endotracheal tube was inserted. >The anaesthetist has been not able to do it during cesarean section!!! >This must never happen! >Emilio Porro MD OB&GYN >Como (Italy) MD >Sanbonav@mbox vol.it. Next message: Francisco L. Romero: "Re: Milk in the bladder" Previous message: Mickie Berman: "Re: ob-gyn publications on the web" Maybe in reply to: Dr Eberhard W Lisse: "Obstetric Anaesthetic"

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