Patient management during extradural anaesthesia for obstetrics.

Abstract

A review of some policies of clinical practice, adopted in the light of experience, is presented. These include the inadvisability of attempting to obtain a precise segmental block during the first stage of labour; the urgent need to avoid compression of the inferior vena cava by the uterus during labour and at the time of delivery; a preference for the routine use of bupivacaine in concentration of 0.375%, and for the plain solution irrespective of the concentration employed; and the advocacy of providing lumbar extradural analgesia in cases of breech presentation and multiple pregnancy. The list of contraindications has been considerably reduced during the past few years.

• Authors: J S Crawford
• Journal: British journal of anaesthesia (Br J Anaesth) Vol. 47 suppl Pg. 273-5 (Feb 1975) ISSN: 0007-0912 [Print] England
• PMID: 1148101 (Publication Type: Journal Article)

Chemical References

• Bupivacaine
• Epinephrine

Topics

• Anesthesia, Epidural
• Anesthesia, Obstetrical
• Breech Presentation
• Bupivacaine (administration & dosage)
• Epinephrine
• Female
• Humans
• Labor, Obstetric
• Posture
• Pregnancy
• Urination