-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Anesthesia for Emergency Cesarean From: Dr Eberhard W Lisse (el@linux.lisse.na) Wed Mar 24 06:51:16 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mary shoup: "Prevention of Post Surgical Adhesions Chat with David Wiseman, PhD" Previous message: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" In reply to: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" Next in thread: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" Reply: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" Efraim, In message <199903241323.HAA08303@talk.obgyn.net>, Efrain Ramirez MD writes: > el ..it depends on the indication for the emergency C/S...in a > ruptured uterus it would be unwise... Why? You got evidence to support that? > Look...everybody knows that "emergency C/S" has many meanings. You > may call an emergency C/S for a non reassuring fetal status and can > do it with spinal (hypnosis or acupuncture if you are good at it > :-)) if the baby responded adequately to intrauterine resuscitation. > But with a ruptured uterus, vasa previa, masive abruptio...you do > not fool around. Well, actually, playing with local anaesthetics in such a situation, *IS* fooling around. I have seen spinals done for *ANY* obstetric emergency (where I was the obstetrician) No problem, almost as fast as a General Anaesthesia (put the patient on the side, stick the needle in, push the stuff in, put her on her back, scrub, drape cut. We are actually discussing to start doing Spinals on a regular basis, as the consultants from the National Hospital are having good expperiences. Our patients by the way, don't like regionals, they want to sleep, so we have few where we could try an epidural if we had the equipment, and because you need to keep your hand in we don't do any epidural at all. Works very well. Some fluids and Effortil (R) come in handy, though. > Some spinals may look like acupunctures even in expert, experienced > hands ! :-) Of course it does help that I have to do Lumbar Punctures on at least a weekly basis, besides the fact that rule 6 of the House of God applies. I do most of the vaginal bypasses around here, but I also give (general) anaesthetics (to trauma surgery cases) so it's easy for me to say :-)-O No, the problem is that you guys can't stick a needle. greetigns, el PS: If you were compelled to to a C/S under local, give her some Ketalar when you breach the peritoneum. By the time she wakes up you have her closed up. Next message: mary shoup: "Prevention of Post Surgical Adhesions Chat with David Wiseman, PhD" Previous message: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" In reply to: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" Next in thread: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean" Reply: Efrain Ramirez MD: "Re: Anesthesia for Emergency Cesarean"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:31:01 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.