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Re: Anesthesia for Emergency CesareanFrom: TUDOR BALAN (balan@mail.dntis.ro)Tue Mar 23 11:33:25 1999
Ronald E. Ainsworth wrote:
> I It has been suggested that a cesarean section in a L&D About the hospital I'm working in, I relate you a situation seeming quite curiously.The local anesthesia, infiltrating "level by level" after a very well established technique, it is done to almost all the C/S cases. This is the technique we use, and it is not typical for the whole romanian obstetrical school. This technique started in the fourties years, beeing tooken from the sovietic school. If in that times, it was understable that it is the best option, in the safety point of vue, in our times, when we do have good conditions for the general and the spinal anesthesia, we still consider it the less risquant method. We do use novocain 0,3-0,5%, / xylin 1%. Immediately after extraction of the baby, we do i.v. anesthesia (Pethydine). Certainly, we do the C/S only in the O.R. Disadvantages: * longer time ( to reduce the intervention time during the emergencies, we use only the median section of the abdomen); * mother's stress ( to reduce it, we administrate valium i.v. , pre-operative). Advantages: * the safest anesthesic method. To avoid the allergical problems, we forcely do the allergical test for novocain / xylin. In our hospital, we perform ~ 200 C/S per year. Our statistics, over tens of thousands of local anesthesias for C/S are showing zero mortality by anesthesic reason, and no allergic/systemic reactions, the allergic test beeing done. friendly yours, Tudor BALAN, MD, OG "Elena Doamna" Hospital Iasi - ROMANIA
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