Re: Anesthesia for Emergency Cesarean

From: Dr Eberhard W Lisse (el@linux.lisse.na)
Tue Mar 23 06:45:28 1999


Ronald,

In message <199903230142.TAA30786@talk.obgyn.net>, Ronald E. Ainsworth writes:

> Is there any consensus on what is the safest anesthesia for a
> cesarean section when a truly emergent need arises and no room or

I don't know where you practice, but that an OR is *ALWAYS* available for a C/S here.. No fail.

> anesthesiologist is readily available (within the ACOG 30 minute
> rule, or more importantly during the 17 minutes it takes before
> irreversible brain damage)?

What 17 minutes before irreversible brain damage? The Obstetrician's?

> It has been suggested that a cesarean section in a L&D
> room under local infiltration would be the safest option.

What's wrong with a spinal? Stick the needle in, inject, put her on her back, scrub and draper her and you can cut.

el

--
Dr. Eberhard W. Lisse\         /                 Swakopmund State Hospital
<el@lisse.NA>         *        |                  Resident Medical Officer
Private Bag 5004       \      / +264 81 1246733 (c) 64 461005(h) 461004(f)
Swakopmund, Namibia     ;____/       Domain Coordinator for NA-DOM (el108)




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