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Re: Anesthesia for Emergency CesareanFrom: Ealgail@aol.comTue Mar 23 23:06:52 1999
In a message dated 3/23/99 6:26:37 AM Eastern Standard Time, rbraun@iupui.edu writes: << I have personally done two C/S's under local anesthesia. They were both for persistent prolonged severe decels and anesthesia was not in house. In both cases the patient was quite vocal about the ineffectiveness of the anesthesia. As soon as the baby was delivered, we waited to deliver the placenta and repair the uterus until anesthesia arrived and put her to sleep. Both were done in the O.R. I would be very hesitant to do any C/S other than Postmortem in the labor room. >> I spent the first 5 years of private practice in a hospital where anesthesia would not stay in house. During that time, to my knowledge there were 11 c/sections done under local. We know because we all reported them when we demanded that anesthesia stay in house. I did one, for a (we found out later) ruptured vasa praevia and bradycardia. I used 1 percent lidocaine, about 20 cc and a vertical incision - the baby was out in less than one minute. We waited for anesthesia, who arrived some 30 minutes later, to repair the uterus. The mother reported only pressure and had no bad memories of the surgery. She didn't move or say anything during the delivery; she told me she was scared to death and felt that was part of it. The baby had bled out, was stark white, but was transfused and is now a normal 9 year old. Linda Linda Morrison-Boczar, MD, MBA Sarasota, FL
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