Monthly Archives: April 2012

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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Barbaric stage of OB anesthesia

Barbarians….why barbarians ?   What makes barbarians different from civilised people?Barbarians have 2 problems –in their head and in their heart.In their head –they do not know how to reason, and in their heart—they are cruel , they do not … Continue reading

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Why lidocaine burns and why fever during epidural

Epidural during labor causes  fever , temperature goes up. Mechanism was not found yet. We found possible mechanism on Wikipedia. God bless Wikipedia. Another problem—local anesthetics burn on injection(when you go to  your dentist–it burns when he shoots you).Why? Feeling … Continue reading

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Scholary discussion : thats how it looks like in scientific journal

Introduction of a novel technique for pain free labor Blockade of second stage labor Dr I.Kozlov , Dr M.Ackert  Wyckoff Heights Medical Center  374 Stockholm Street  Brooklyn, NY 11237 Abstract   Traditional labor epidural techniques have not been proven to … Continue reading

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Pain free labor. “GET IT!!!!”

We need objective sign to compare different techniques of pain relief .Subjective always will be subjective. Ideal test –it is the same patient going thru exactly the same procedure twice with different methods of pain relief. So we can compare … Continue reading

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