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OB Anesthesia for Labor
Kathryn Zuspan, M.D.
Valley Anesthesiology Consultants,
Stillwater, MN
Objectives:
Physiology, Pharmacology, and Options for Labor
- You should have an understanding of how the physiologic changes of
pregnancy impact and alter your patient's anesthetic management.
- You should know which drugs used in your obstetric practice have the
potential to interact adversely with drugs used for anesthesia and
analgesia.
- You should gain knowledge of the analgesic options for laboring patients
including labor spinals, labor epidurals, 'walking epidurals',
patient-controlled epidurals (PCEA) and combined spinal-epidurals (CSE).
- You should gain insight into current controversies in OB Anesthesia, and
the statements given by the national specialty organizations (ACOG, ASA)
concerning these controversies. These include: low molecular weight
heparins and timing of neuraxial anesthesia, who can perform neuraxial
techniques, can labor nurses assist in managing neuraxial analgesia and the
effects of neuraxial analgesia on labor, the parturient and the neonate.
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