Notes in 18 OB ANE

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Published	07/30/2024	Obstetric Pain PathwaysVisceral: {{c1::Hypogastric nerve → T10-L1::nerve fibers}}Somatic: {{c1::Pudendal nerve → S2-4::nerve fibers}}
Published	07/30/2024	Obstetric Pain PathwaysVisceral: {{c1::first stage::stage of labor}}Somatic: {{c1::second stage::stage of labor}}
Published	07/30/2024	Obstetric Pain PathwaysVisceral: caused by {{c1::uterine contraction and cervical dilation}}Somatic: caused by {{c1::pelvic floor, vagina and perineum…
Published	07/30/2024	Obstetric Pain PathwaysConsequences of Labor Pain{{c1::Hypocarbia}}Increased blood pressureRelease of stress hormones
Published	07/30/2024	{{c1::Epidural}} Analgesia is the most effective method for ob procedures
Published	07/30/2024	[QC] Bupivacaine1. Sensory blockade2. Motor blockade{{c1::A}}
Published	07/30/2024	Analgesia During Labor and DeliveryEpidural AnalgesiaCatheter inserted between: {{c1::L3 and L4}}Landmark: {{c1::Tuffier's line}}Reference of Tuffier'…
Published	07/30/2024	Analgesia During Labor and DeliveryEpidural AnalgesiaSTAGEPATHWAYLOCAL ANESTHETICFirstT10-L1{{c1::BupivacaineLidocaine}} SecondS2-4T10-L1{{c1::Bu…
Published	07/30/2024	Bupivacaine is commonly used for regional analgesia and peaks at {{c2::20 mins::time}}
Published	07/30/2024	Epidural Analgesia ComplicationsCatheter displacement{{c1::Hypotension from sympathetic blockadeFever from pre-existing infection::2}}
Published	07/30/2024	Intermittent Administration of Epidural Anesthesia for LaborAdminister initially {{c1::10}} cc of {{c1::0.0625-0.0125}}% Bupivacaine after a {{c1::3}}…
Published	07/30/2024	Epidural Analgesia can be administered via {{c1:: px-controlled infusion pump}} in smaller doses wherein the patient controls the administration of th…
Published	07/30/2024	Epidural Analgesia for labor Indications{{c1::Maternal requestVaginal delivery of twinsVaginal breech deliveryPre-eclampsiaMedical complicationsMitral…
Published	07/30/2024	Epidural & Spinal Analgesia for Labor ContraindicationsPatient refusalInadequate trainingPlatelet count: <{{c1::70,000}}/uL{{c1::Increased ICP …
Published	07/30/2024	[VR]1. Epidural Analgesia2. Duration of the 1st & 2nd stages of labor{{c1::A}}
Published	07/30/2024	{{c1::Systemic}} Analgesia is used when epidural anesthesia is contraindicated or unavailable
Published	07/30/2024	Effect of opioids on fetal function mind trick:Opioids result in {{c1::lower}} cardiorespiratory Fxn:{{c1::↓ FHR variability↓FHR baselineNeonatal resp…
Published	07/30/2024	Meperidine (Demerol) for Systemic Analgesia IMIVDose{{c1::50-100mg every 2-4 hours}}{{c2::25-50 mg every 1-2 hours}}Onset{{c1::30-45 mins}}{{c2::…
Published	07/30/2024	Meperidine is often used with {{c1::phenothiazines::drug}} to decrease nausea and vomiting when inducing analgesia in px in labor
Published	07/30/2024	{{c1::Normeperidine}} - Active metabolite of meperidine with half life of {{c1::72 hrs}} in the neonate
Published	07/30/2024	{{c1::Butorphanol::drug}} - Synthetic opioid receptor agonist-antagonist for systemic analegesia that causes somnolence, dizziness, dysphoria in the m…
Published	07/30/2024	Nalbuphine when compared to meperidine, causes{{c1::Less::Less/More}} maternal nausea and vomiting{{c1::More::Less/More}} maternal sedation and dizzin…
Published	07/30/2024	{{c1::Naloxone::drug}} - Administered to the baby to reverse neonatal respiratory depression associated with administration of maternal opioids
Published	07/30/2024	Systemic Analgesia During Labor and DeliveryOpioids{{c1::Meperidine::drug}}DOC for hypertonic uterine contractions
Published	07/30/2024	[VR]1. Inhalational Agents for systemic analgesia during labor2. APGAR, Umbilical cord blood gas levels, Motor function{{c1::C}}
Published	07/30/2024	NO for analgesia during labor is given intermittently as {{c1::50% nitrous oxide in 50% oxygen::preparation}}
Published	07/30/2024	{{c1::Halogenated Agents}} - Inhalational Agents that cause dose-related uterine smooth muscle relaxation
Published	07/30/2024	Local Analgesia During Labor and DeliveryParacervical BlockTarget: {{c1::uterovaginal plexus}}Relief during the {{c1::1st::1st/2nd}} stage of laborBlo…
Published	07/30/2024	Local Analgesia During Labor and DeliveryParacervical BlockGive {{c1::5-10}} cc of {{c1::1% lidocaine or 0.25% bupivacaine::drug}} and inject at {{c1:…
Published	07/30/2024	Local Analgesia During Labor and DeliveryParacervical Block{{c1::Short::Short/Intermediate/Long}}-acting and may have to be repeated during labor{{c1:…
Published	07/30/2024	Local Analgesia During Labor and DeliveryPudendal BlockTarget: Pudendal nerveLandmark: {{c1::ischial spine}}Sensory Blockade Extent: {{c1::lower vagin…
Published	07/30/2024	Local Analgesia During Labor and DeliveryPudendal Block is introduced by a {{c1::Iowa trumpet::instrument}}placed at the tip of the ischial spine. Alw…
Published	07/30/2024	Local Analgesia During Labor and DeliveryPudendal BlockUse {{c1::10}} cc of any of the ff:{{c1::1-2% lidocaine0.25% bupivacaine0.2% ropivacaine}}
Published	07/30/2024	Local Analgesia During Labor and DeliveryPudendal BlockEffect sets in {{c1::3-4 mins}} after infiltrationIndications: {{c1::2nd stage of labor, episio…
Published	07/30/2024	Local Analgesia During Labor and Delivery{{c1::Local Infiltration}}During crowning, pudendal nerve block difficultDirectly infiltrate the area where e…
Published	07/30/2024	{{c1::Spinal Analgesia}} - Injection of local anesthetic into the subarachnoid space to effect analgesia
Published	07/30/2024	Analgesia For Cesarean SectionSpinal AnalgesiaOffers a {{c1::short::short/long}} procedural time, {{c1::rapid::rapid/slow}} blockade onset and {{c1::h…
Published	07/30/2024	Analgesia For Cesarean SectionSpinal AnalgesiaLow Spinal or Saddle BlockBlocks {{c1::S2-4::nerves}} and for {{c1::2nd}} stage of labor
Published	07/30/2024	Spinal Analgesia For Cesarean SectionLow Spinal or Saddle BlockLocal anesthetics{{c1::Lidocaine}}: Shortest duration{{c1::Tetracaine and Bupivacaine::…
Published	07/30/2024	Spinal Analgesia For Cesarean SectionSpinal AnalgesiaLow Spinal or Saddle BlockIndications{{c1::Vaginal delivery requiring perineal anesthesiaAssisted…
Published	07/30/2024	Spinal Analgesia For Cesarean SectionLow Spinal or Saddle BlockComplications:{{c1::HypotensionHigh Spinal BlocakdeSpinal Headache::3}}
Published	07/30/2024	Spinal Analgesia For Cesarean SectionLow Spinal or Saddle Block Complication:{{c1::Hypotension}}Due to vasodilation from sympathetic blockade and the …
Published	07/30/2024	Spinal Analgesia For Cesarean SectionLow Spinal or Saddle Block Complication:{{c1::High Spinal Blockade}}Due to excessive dose of analgesicRelieved by…
Published	07/30/2024	Spinal Analgesia For Cesarean SectionLow Spinal or Saddle Block Complication: {{c1::Spinal headache}}Due to CSF leakageRelieved by {{c1::caffeine…
Published	07/30/2024	The major hazard of Gen ANE is {{c1::aspiration pneumonitis}}
Published	07/30/2024	Gen Analgesia For Cesarean SectionProphylaxis to prevent Aspiration PneumonitisFast for {{c1::6-8}} hrsGive {{c1::H2 blockers::drug}}{{c1::Sellick}} M…
Published	07/30/2024	{{c1::Sellick maneuver}} - pressure on the cricoid cartilage to occlude the esophagus
Published	07/30/2024	Non-Pharmacological TechniquesWith Specialized Training{{c1::LamazeTENSAcupunctureHypnosisWater immersion}}
Published	07/30/2024	Non-Pharmacological TechniquesWith Minimal Training{{c1::Emotional supportTouch and massageTherapeutic use of heat and coldHydrotherapyVertical positi…
Published	07/30/2024	[VR]1. BMI2. Regional Analgesia effect{{c1::B}}
Published	07/30/2024	Can you give the laboring px bupivacaine whenever they need it?{{c1::Y. Intervals are arbitrary and depends on the px::Y/N}}
Published	07/30/2024	[VR]1. Epidural Analgesia2. FHR{{c1::C}}
Published	07/30/2024	Opioids for systemic analegsia during labor is usually given when the px is {{c1::5}} cm dilated
Published	07/30/2024	[QC] Effectiveness1. Epidural ANE2. Inhalational ANE (NO){{c1::A}}
Published	07/30/2024	Indications for halogenated inhalational agents{{c1::Internal podalic version of 2nd twinBreech decompositionReplacement of acute inversion::3}}
Published	07/30/2024	Complications of halogenated inhalational agents to think ofCardio-depressant and hypotensive effects (prolonged bradycardia on EFM){{c1::Hepatotoxici…
Published	07/30/2024	What is the extend of the sensory and motor blockade of a paracervical block?{{c1::None}}
Published	07/30/2024	Maternal Complications of a Paracervical Block:{{c1::HematomaSystemic Local ANE ToxicityVasovagal Syncope::3}}
Published	07/30/2024	Fetal Complications of a Paracervical Block:{{c1::Fetal Bradycardia}} that lasts {{c1::10-30}} mins
Status	Last Update	Fields