Category Archives: Uncategorized

Lectures , Obstetric anesthesia for dummies

Lectures these are lectures on obstetric anesthesia, reasonable pain management watch them, and talk to me after , I ll be happy to answer your questions

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Phrenic nerve

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How fast should i inject spinal hyperbaric solution ?

First , this is regular isobaric solution , see how it spreads, it does not go down or up , it just sits there   i should inject SLOWLY—0,5 ml over 1 min, then it drips to the bottom if … Continue reading

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Barbarians strike again !!! Oxygen by mask during fetal distress

  Usual practice  on Labor and Delivery floor  during FHR decelerationg is to put O2 mask on the mother and turn O2 to 10 liters. It’s done to increase O2 delivery to the fetus. Here we ask question —does it … Continue reading

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ASA guidelines for monitoring …are they reasonable?

http://wiki.med.uottawa.ca/display/WIKITHESIA/ASA+Guidelines.+Neuraxial+Opioids Main fear of any anesthesiologist working in OB is  (besides aspiration on c-section  with GA)—respiratory depression  after intrathecal or epidural morphine.Red flag goes up in anesthesiologist brain  when somebody says “SPINAL MORPHINE”. Scariest  thing is  that respiratory depression is … Continue reading

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How does epidural space look like?

like this Green is epidural , not green –not an epidural. and some shots with explanations:  

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How to keep epidural catheter for 3 days?

For pain relief post c-section we use Dyramorph(2mg bid) or Dilaudid(0.5mg bid) thru epidural catheter.But how to keep epidural catheter in the back for 3 days and not to loose it and not to have infection? 2 conditions 1)using Chlorhexedine … Continue reading

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wikipedia

if i click in wikipedia for epidural that what i see Whats wrong with this picture? 1)prep is iodine—-Chlorhexidine is better 2)catheter is nylon—wired catheters are better

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