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Doctor insights on: Procedure Drug Delivery

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Any advice please! c-section vs. Vaginal delivery, which is a safer procedure\?

Any advice please! c-section vs. Vaginal delivery, which is a safer procedure\?

C section: Medical rumors have it that the c section will preserve the pelvic perineum. Keep the vagina tighter and prevent uterine prolapse in the future medical rumors also say that vagina birth is better for the baby, because of a little squeeze it needs on his lungs, and a lot less drugs in his system. Nature, i think, has already decided the best way to continue. ...Read more

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After cardiac resuscitation during surgery, is it viable/possible to resume anesthetics? (Propofol/Remifentanil)

After cardiac resuscitation during surgery, is it viable/possible to resume anesthetics? (Propofol/Remifentanil)

Yes: It is conceivable , in order to terminate the surgery , not necessarily to complete it, and to take control of certain functions of the body, like the respiratory system and the oxygenation of the brain and other vital organs. ...Read more

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Which you prefar spinal anasthesia or general anasthesia during cesarean section?

Which you prefar  spinal anasthesia or general anasthesia  during cesarean section?

Spinal or epidural: The regional anesthetic with either a spinal or an epidural is the preferred way to perform this operation. It is safer for the mother, as well as lets her see the baby as they are born. Talk to your anesthesiologist about your options. ...Read more

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What is the thalidomide drug testing procedure?

What is the thalidomide drug testing procedure?

Thalidomide was a: drug used for nausea in pregnancy in the 1959s and 69s but caused many birth defects such as absence of arms or legs. It caused the drug industry to re evaluate its policy as to the reporting of side effects and problems with the drug. ...Read more

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Which is safer, vbac or repeat cesarean (2nd cesarean) ?

Which is safer, vbac or repeat cesarean (2nd cesarean) ?

Depends on situation: If your initial cs was due to big baby/small pelvis & you face the same with the next delivery a vbac may be unwise.If the initial cs was for breach or monitor irregularities & your pelvis is considered adequate by the ob, a vbac may be a reasonable choice. Discuss this with the OB & see what what your options are. ...Read more

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Is Conscious oral sedation for dental procedure in children safe? They will be using demerol (meperidine hydrochloride)? Any risks?

Is Conscious oral sedation for dental procedure in children safe? They will be using demerol (meperidine hydrochloride)?  Any risks?

Nothing is 100% safe: But, this is not something you need to fret over. Dentist w/ experience in the pediatric population are very experienced and - next to a parent - they have all the reasons in the world to be very careful. Ask for reassurance since your worries are important too - even if unneeded. Get instructions for before/after and good info. Best! ...Read more

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Requested no pitocin (oxytocin) be used during labor. Rn says they'd give it after birth.Is it common to be given pitocin (oxytocin) after delivery? Why is this necessary?

Requested no pitocin (oxytocin) be used during labor. Rn says they'd give it after birth.Is it common to be given pitocin (oxytocin) after delivery? Why is this necessary?

Yes, it is: Standard, the most common source of bleeding after delivery occurs when your uterus does not contact and you bleed heavily where the placenta was implanted. The goal is to prevent hemorrhage, it is safe and commonly used. Good luck. ...Read more

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What is the diet (clear?)after cesarean delivery?

What is the diet (clear?)after cesarean delivery?

Clear liquids: Surgeons often put patients on "clear liquids" after surgery until they are sure the GI tract is going to function properly. The diet consists of liquids, but no dairy products. It also includes popsicles and jello. ...Read more

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Side effects of regional anesthesia for delivery?

Regional anesthesia: Regional anesthesia is extremely safe and commonly used during labor and delivery. At my institution the epidural rate is nearly 90%. We are careful to use as low doses of local anesthetic and opioid combinations. The common effects seen are decreased sensation and motor strength in the lower extremities (expected) and occasionally a decreased blood pressure (also expected) which we treat prn. ...Read more

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Pre CABG ef 55% is it risky undergoing for surgery....What r the complications....?

Pre CABG ef 55% is it risky undergoing for surgery....What r the complications....?

EF: Ef or ejection fraction is the amount of blood ejected with each beat of the heart. An ejection fraction of 55 - 60 per cent is normal. A low ef, below 30 or 35 per cent has a higher risk for any surgery including cardiac surgery. The risks are of more complications with surgery such as heart failure, forming of a blood clot, or a stroke. ...Read more

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Does laparoscopy for see the extra uterine gestation needs general anesthesia or local anesthesia? How long the procedure will take? Any risk

Laparoscopy : Requires general anethesia. The anesthetic time for this procedure should only be a little longer than the surgical time. Your ob/gyn should be able to give you a good time estimate. ...Read more

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Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more

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How is the post anesthesia recovery score used?

How is the post anesthesia recovery score used?

For discharge: Post anesthesia recovery score basically helps to tell when a patient is ready to discharge from the post-anesthesia care unit (pacu). Patients should be awake, have stable and normal vital signs, have controlled pain, minimal nausea, and show no ill effects from surgery or anesthesia. ...Read more

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Which is better, epidural or patient-controlled analgesia after surgery?

Which is better, epidural or patient-controlled analgesia after surgery?

Depends: It depends on what surgery you are having, and what the expertise of your anesthesiologist is. Pca is a means of the patient giving themselves intravenous narcotic. Epidural anesthetic can be very good for some types of surgery, and there is also continuous epidural anesthesia for some situations. You should confer with your surgeon and your anesthesiologist as to what is best for your condition. ...Read more

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Which is better--epidural or patient-controlled analgesia after surgery?

Which is better--epidural or patient-controlled analgesia after surgery?

Both!: There is a relatively novel form of perioperative pain relief known as patient-controlled epidural analgesia(or pcea). It's similar to pca in that you as the patient control how much medication you receive. However, instead of the medication being delivered to your veins, it's delivered to your epidural space, where it is more effective and less likely to produce systemic side effects. ...Read more

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Can an epinephrine injection into the mother's i.V during labor cause a newborn to test positive for methamphetimine?

Can an epinephrine injection into the mother's i.V   during labor cause a newborn to test positive for methamphetimine?

Drug Testing: Nope. Not in any way. If you have been using methamphetamines it is best now to come clean. It is best to get the baby tested appropriately so that they do not have any health consequences. Every single doctor here would agree that we want you healthy, sober, in recovery where you can be the very best mom possible. Or, if you are going to use methamphetamines perhaps adopting the baby out.. ...Read more

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Is blood transfusion required during bariatric surgery?

Is blood transfusion required during bariatric surgery?

Rarely: Though there may be circumstances where transfusion is indicated, the vast majority of patients who undergo laparoscopic bariatric surgery have very little blood loss and therefore do not need blood transfusion. ...Read more

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