Do We Administer Too Much Oxytocin?

Pitocin is the drug we love and hate.  If a laboring patient on pitocin for a long time end up in cesarean section, you often find that pitocin infusion after the baby is born is less effective in giving you the firm uterine tone. Your surgeon may ask you to give more pitocin in the…

Post Dural Puncture Headache, True or False?

Haven’t we all experienced the common blame game in OB? Patient may not even have an epidural but the nurse would still call you to evaluate thinking automatically the post-dural puncture headache. If patients have epidural placed, the assumption of PDPH is even higher. However, we the OB anesthesia providers know the headache of an OB…

The Use of Ondansetron in Reducing Hypotension After Spinal.

Often times, we have to deal with HOTN after spinal placed in obstetric patients. Patient may feel nauseated and throw up due to HOTN. Besides co-loading of crystalloid, ondansetron can be given 5-15mins prior to spinal placement to reduce the extend of HOTN. It is a cheap and readily available drug in our anesthesia cart….