A short procedure where a short acting spinal is ideal Pre-op Paracetamol Intra-op 20G cannula Spinal with 2% hyperbaric prilocaine, up to 2.5ml Post-op Regular paracetamol No NSAIDS
Category Archives: Obstetrics
Category 1 Section Under GA
These can be stressful situations. Ideally intubation is immediately followed by knife to skin, with the abdomen prepped before induction. There is a very high incidence of difficult intubation, and of awareness under anaesthesia in these situations. Pre-op Peri-op Post-op Alternatives
Category 1 section under spinal
This can be a highly stressful situation. There may be little time to prepare. Communication here is absolutely vital. Is there time for a single attempt at a spinal? Many different things will need to occur in parallel here. In the operating theatre Patient will likely be in a left lateral position for intra-uterine resuscitationContinue reading “Category 1 section under spinal”
C-section under spinal
In obstetrics more than anywhere else, the anaesthetist is an entertainer. Aside from the clinical parts, consider other elements: do they have a playlist they would like to play? Pre-op Intra-op Documentation Always document (if true!): Post-op Variations
C-section under epidural top-up
There is debate here about top-up solutions- do you use the fast acting mix that takes time to prepare, or the slower one that can be drawn up more quickly? Research suggests the lidocaine based mix is faster at achieving surgical anaesthesia, even accounting for the extra time taken to prepare it. Pre-op Antacid prophylaxisContinue reading “C-section under epidural top-up”
Anaesthetic Recipes 