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Re: NubainFrom: DoctorJoe (DoctorJoe@aol.com)Tue Dec 30 22:39:42 1997
In a message dated 12/30/97 4:30:28 PM, you wrote: <<Recently our pediatricians asked us to replace "DOLOSAL" (pethidine ) by Nubain which was described to be followed by less respiratory distress in newborns. After 4 month of this treatment in some women with no epidural analgesia (less than 25% in our hospital) I did not see any neonatal apnea but my experience is poor at this time, I did just remark 3 or 4 times very low reactive fetal cardiac rate that worried me but scalp Ph was normal and all the babies are fine.>> We've used Nubain in the past... One nice thing is the dosing, which runs about the same as Morphine (10-15 mg or so at a dose). However, our residents in recent years gravitated to Stadol, which is a similar agonist-antagonist drug... It's given as 1 or 2 mg at a time. Both of these drugs are "easy" to use, as they are not as well-controlled as the usual narcotics (e.g. meperidine), so it's easier on the nurses to keep track of them. Joe P.
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