Recent content by nitroglycerine

It is a big deal. What risks specifically would you discuss with her on top of the usual ones like PDPH and the epidural hematoma/abscess?

What if it was a girl?

Saw your reply in the neurosurgery forum, thanks again.

No ****!

You mean my anesthesia colleagues? Most say they would do it but one colleague would order the lumbar ultrasound.

Thanks, good to know it. I am still waiting in the neurosurgeons and the Rads to get back to me.

It looks like the common approach is to try to locate the broken piece with imaging when not pregnant and not touch it unless it causes symptoms or is in some location where it is dangerous to leave it. If it has been asymptomatic for many years and the patient did not bother to have it...

Probably not. I was thinking more in terms of the referral after delivery so it would be nice to discuss the labor epidural with the same neurosurgeon.

Our is 1,5 Tesla. Is it super high? Will discuss it with our radiologist today.

Thank you, everyone. I feel more like Plankton, everyone else here says "probably ok, we will order the ultrasound because she is pregnant and the catheter could have a wire in it so no MRI or CT or even AP/lateral lumbar x-ray'. They realize that the information will likely be limited and maybe...

Hi, guys. I am an anesthesiologist. I was asked to do a labor epidural for a patient with the history of a broken epidural catheter which was not retrieved. It happen many years ago, presumably asymptomatic patient. She is in her third trimester. My colleagues are saying "Just do it and if...

Hello. This question was asked by someone before. 36 weeks pregnant, expecting a labor epidural, saying had an epidural catheter broken in her back many years ago and was not retrieved. no other history available and presumably asymptomatic. What would be a reasonable approach? my colleagues say...

Patients who are to be extubated by a PACU nurse after general anesthesia are not the ICU patients. They are stable and their course is predictable. The patients who may have postoperative airway problems anesthetist would watch and make sure they are stable before proceeding with the next case...

Right, this would be extremely unlikely. But all the anesthetists at some moment of time could be all in the ORs and there is no separate anesthetist assigned to PACU. So theoretically there isn't an anesthesia provider available for PACU. But an RT who's job description includes intubations IS...