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
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
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
How does epidural space look like?
like this Green is epidural , not green –not an epidural. and some shots with explanations:
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
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
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
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
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