Anesthesia. OB. What is the sleeping pill of choice during C-Section near a regional anesthetic?
What is the sedative of choice during C-Section with a regional anesthetic?
Based on my readings and what I own seen people use, I believe it is either midazolam or ketamine?
I hold seen people use midazolam, mostly after delivery of the newborn. I also have seen it used if the mother is having a tough time or desperate experience throughout pregnancy or they are hysterical.
Some books have advised about the use of ketamine, but own not seen it in practice.
If these two drugs are not the sedative of choice, please detail the correct drug and a brief explanation. Thank you.
Answers:
It's Midazolam.
Ketamine is not repeatedly used because it causes hectic hallucinations as a side effect, also it can be a drug of abuse.
Ketimine isn't used much any longer, except in veterinary practice. (castration of horses, but in moderation. The horse in out not very long, the eyes are covered, and minimum of noises. They sometimes try to hurdle up before we are ready to allow them to do that. It dissociates the brain in the horse, or animal.... unpleasant contained by people.)
Tooooo many people enjoy take toooooo many bad trips on it as a anaesthetic. I doubt if it is used any longer...... I had it on a procedure, and had to get the surgeon to stop....I didn't realize they be giving to me..
If this is you receiving any med, ask your anesthesiologist. Ketamine is often now a street drug, call "Special K"
I have no familiarity with the other you mentioned. Source(s): dad an md. Best friend an equine vet.
I almost never sedate women for C-sections. They get a spinal, and that's it, unless they are worked up to the point of being hysterical. Usually some appendage holding and calm words are all the sedation that 99% of women need.
In the singular cases where sedation is needed, I usually start with hydromorphone. They are going to need some analgesia after the spinal wear off anyway. If that doesn't do the trick, then my next choice is midazolam. I own used ketamine also, but it's not my first choice. I guess it's my third choice, after the other two drugs I've mentioned.
I DO use ketamine in small doses if the spinal isn't quite where it wants to be. Some of my colleagues use it more than I do. In the obstetric population, I do everything I can to avoid general anesthesia, because it is SIGNIFICANTLY more risky than regional. If I have a questionable spinal block, I'll repeat it before surgery starts. It's more possible that the block is wearing off before the surgeons are finished. (Yes, we have residents)
The principal OB anesthesia guy who trained me used to use a lot of Stadol, but I don't like the antagonistic effects of that drug. I'm afraid it will interfere with post-op analgesia. He also used to hand over it epidurally in women who had epidurals in place for their C/S. It DID gentleness them down, though. Source(s): I do a fair amount of OB anesthesia. In practice, we DO use ketamine, both in OB and the general OR's. It have its place, and small doses appear to act synergistically with opiates to produce better analgesia.
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Based on my readings and what I own seen people use, I believe it is either midazolam or ketamine?
I hold seen people use midazolam, mostly after delivery of the newborn. I also have seen it used if the mother is having a tough time or desperate experience throughout pregnancy or they are hysterical.
Some books have advised about the use of ketamine, but own not seen it in practice.
If these two drugs are not the sedative of choice, please detail the correct drug and a brief explanation. Thank you.
Answers:
It's Midazolam.
Ketamine is not repeatedly used because it causes hectic hallucinations as a side effect, also it can be a drug of abuse.
Ketimine isn't used much any longer, except in veterinary practice. (castration of horses, but in moderation. The horse in out not very long, the eyes are covered, and minimum of noises. They sometimes try to hurdle up before we are ready to allow them to do that. It dissociates the brain in the horse, or animal.... unpleasant contained by people.)
Tooooo many people enjoy take toooooo many bad trips on it as a anaesthetic. I doubt if it is used any longer...... I had it on a procedure, and had to get the surgeon to stop....I didn't realize they be giving to me..
If this is you receiving any med, ask your anesthesiologist. Ketamine is often now a street drug, call "Special K"
I have no familiarity with the other you mentioned. Source(s): dad an md. Best friend an equine vet.
I almost never sedate women for C-sections. They get a spinal, and that's it, unless they are worked up to the point of being hysterical. Usually some appendage holding and calm words are all the sedation that 99% of women need.
In the singular cases where sedation is needed, I usually start with hydromorphone. They are going to need some analgesia after the spinal wear off anyway. If that doesn't do the trick, then my next choice is midazolam. I own used ketamine also, but it's not my first choice. I guess it's my third choice, after the other two drugs I've mentioned.
I DO use ketamine in small doses if the spinal isn't quite where it wants to be. Some of my colleagues use it more than I do. In the obstetric population, I do everything I can to avoid general anesthesia, because it is SIGNIFICANTLY more risky than regional. If I have a questionable spinal block, I'll repeat it before surgery starts. It's more possible that the block is wearing off before the surgeons are finished. (Yes, we have residents)
The principal OB anesthesia guy who trained me used to use a lot of Stadol, but I don't like the antagonistic effects of that drug. I'm afraid it will interfere with post-op analgesia. He also used to hand over it epidurally in women who had epidurals in place for their C/S. It DID gentleness them down, though. Source(s): I do a fair amount of OB anesthesia. In practice, we DO use ketamine, both in OB and the general OR's. It have its place, and small doses appear to act synergistically with opiates to produce better analgesia.
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