Doctor insights on:
Spinal Anesthesia In Cesarean Section
How come spinal anesthesia doesn't effect your brain if it goes into the cerebrospinal fluid which circulates to the brain?
Please write strongest pain medication, complete drug plan for post C-section pain. I chose C-section with general anesthesia. I don't want spinal or epidural?
Analgesia: It would not be practical to provide you with rx plan for postop analgaesia without knowing your medical history. You have tied your anesthesiologist's hands by declining spinal/epidural. Both techniques can have opiate adjuvants which diminishes motor blockade whilst maintains sensory blockade. Elective general anesthesia for delivery is dangerous and as an anesthesiologist I wouldn't do that. ...Read more
Sole feet after my surgery, is there any relation between sole pain and c-section using spinal anesthesia?
General or regional: Epidural and spinal anesthesia block hte nerves going to the abdominal muscles and uterus, so you feel no pain, although you may feel a some pressure. You are unconscous when you undergo general anesthesia, so you don't feel anything, but you are also not awake when the baby is born. ...Read more
For extreme nervous patients undergoing a c section, is general anesthesia better or taking a light sedative? Can sedative be given before spinal?
C-section: Safety is a priority and regional anesthesia is safer for c-sections. Patient can be sedated with versed if it is nessasary. General anesthesia is rarely done, mostly for emergencies, for failed regionals or debilitated patients, who can not cooperate. Effects of sedatives can be reversed in newborn in rare situations where it becomes nessasary. ...Read more
C section 2 mnths ago. Spinal anesthesia and voltarene injections in left thigh. Since then numbness in skin and pain when press the area. Inflamation?
Depends: Usually, spinal anesthetic is better for C-section because a full term woman has airway risks when trying to place a breathing tube for general anesthesia. Both spinal and general can drop blood pressure and put stress on the heart. If the heart disease involves a large hole (like vsd), you would need a thorough cardiac medical eval. Good luck. Hopefully all turns up well. ...Read more
C-section delivery (spinal anaesthesia) one month ago. Experiencing leg pain while standing n walking mainly on the joints. Is it normal? Seek help!
Yes: General anesthesia is riskier than spinal or epidural anesthesia for a cesarean. Which is right for you depends on why you are having a c-section and the other medical conditions you have. In some cases, general anesthesia is the safest method. If you are concerned and have time, ask to talk to an anesthesiologist before surgery to go over the specific risks for you. ...Read more
Difficult: It's possible but realistically there is always local anesthesia available along with other meds which can be given quickly to help in an emergency. Truly emergent c-sections have been done with nothing (bad idea...), with IV meds (ketamine, versed, etc), or local injection (lidocaine, marcaine...Doesn't really work well either). If anesthesia isn't available (rare) it is possible but painful. ...Read more
Relatively, yes: Once a patient is put to sleep with general anesthesia, the OB surgeon has a finite (short) period of time to remove the baby prior to it being affected by the anesthesia drugs and being delivered in a flaccid state. Epidural anesthesia is "safer" as the patient is awake even though this modality carries some risks as well. ...Read more
Great question: It depends on the true nature of the emergency. If you already have an epidural in place that is working well it can often be used during an emergency. However when time is of the essence, and the baby or mom are at risk, general anesthesia is the fastest way to get a distressed baby out and cared for. Please rely on the expertise of your obstetrician and anesthesiologist to make the best choice. ...Read more
Need more info: Do you currently have a complication? Although complications are rare, there are many possibilities. A headache from the placement of the epidural; a reaction to one of the meds used-and there are varying reactions/side effects. Numbness in the legs from positioning or from a nerve that was injured during the anesthetic. And then there are the complications from the surgery. ...Read more
I had an unplanned c-section and was put under general anesthesia. Why couldn't my husband stay in the or?
Varies: First, I trust you and your baby are well. There are several reasons why a partner is not allowed in the or for an "unplanned" cesarean. First, is to provide you- the patient- with undivided attention. Secondly, under general anesthesia, you would not be able to communicate to your partner and that is at times difficult for the visiting husband to take in. It can be summed up in 1 word: safety. ...Read more
Whati to expect during c-section? Its my 2nd, im 37weeks pregnant &im nervous this time. My 1st was epidurial anesthesia, felt breathless that time, wtd?
Caesarian: If this is a planned c/s, request a spinal. If you don't have allergy to morphine, request morphine in your spinal. Yes, expect dome breathless moments, especially with exterior inaction of the uterus. If your anaesthesiologist prop you up on 2 pillows, you will have less chance of feeling bresthless. ...Read more
Which is better and safety : general anesthesia or regional anesthesia in c-section for IVF twin?
When a pregnant woman has a c-section, is she able to be awake during a major surgery, and not under anesthesia. Or am I missing something?
The safer way to: Perform an elective non-emergent c-section is by spinal anesthesia. The block will be place just before the surgery start. The obstetrician and anesthesiologist will check spinal is working well. Surgery will start and patient will be awake without feeling pain. Baby deliver and mother will see her baby with the husband at the operating room. ...Read more
I had an unplanned c-section and was put under general anesthesia. Now I have a strong anxiety toward getting pregnant again. How can I get help?
WHY?: Why were you under general anesthesia and what happened that was bad to you as a result? Was there a problem with the baby? Just because it happened once does not mean it will again. I will admit general anesthesia is not typical for a c section. Typically it is an epidural nerve block in the back or a spinal. Speak with your physician. ...Read more
In how many percentage of cases a mother or baby died due to general anesthesia in c section.? In your practise.?
General Anes and OB: General anesthesia is used for urgent delivery and when regional anesthesia (spinal or epidural) is contraindicated. Statistically, general anesthesia is very safe, with severe complications in 1 or of 50, 000 to 1 out of 200, 000 cases. I have been in practice 37 years and have never seen a severe complication from general or regional anesthesia for delivery. ...Read more
Can arachnoiditis be caused from a previous spinal anesthesia during a c-section? Have chronic back pain since. Pregnant again and scared for spinal
Hello doctor my son had lack of oxygene during birth (c-section)what might have caused this problem it can be the anesthesia I had a very normal preg?
Confusing question: You don't detail the problem you are asking about. Since the implication is familiar I'll respond about cerebral palsy.In the 80's research showed that more than half of kids with CP (movement and posture disorder related to brain injury) had normal pregnancy, labor and delivery. A thorough review of your records might help understand the cause of your problem, but there is not enough here to do so ...Read more
Carefully.: After 3-6 weeks have passed from your cesarean section (and if ok with your doctor) you may start working out slowly with swimming, treadmill, or stationary bike. Don't overdo it, though - 30-45 minutes 4-5 times/week suffice. Depending on your prior habits, you may further increase this regimen back to your baseline within 3-6 months after the c-section. Avoid heavy lifting! ...Read more
Not really: Smoking will delay your healing--plus this is a good time to just quit. Your baby will be healthier for it, too. ...Read more
Depends: Best to speak with your ob. He knows about your previous deliveries and can judge the safety of a vaginal delivery. ...Read more
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