Epidural Fever?! Have You Heard of it?

Have you seen this in your clinical practice that a patient you placed an epidural 10 hours ago developed a fever? You may not have thought into it too much. After all, there are many possibilities that laboring woman can develop fever. There are many etiologies that can cause  intrapartum fever such as maternal chorioamnionitis and…

CSE Practice Points/Tips

A couple of weeks ago I was on OB, I was called to assess the discomfort patient experienced in her perineal area. Patient was in early stage of labor, 4cm dilated and had epidural in place. Patient had a good bilateral sensory block, suggesting that the epidural was working well. As we know, labor epidural…

Factor VII and Postpartum Hemorrhage

Today, we had a presentation on OB hemorrhage management. It touched on the use of TXA, but it didn’t mention anything about recombinant factor VII in PPH. Although it has mixed results on the outcome with the use of factor VII, it seems that it still has its place in severe PPH based on the recent…

Are We Afraid of General Anesthesia for Cesarean Section?

Are we afraid of general anesthesia for cesarean section? I remember when I was in school, I learned from the lecture that there are 3 reasons for avoiding GA besides decreased patient’s satisfaction and sleepy baby with GA. They are (1) difficult airway management (2) increased risk for aspiration (3) increased risk for uterine atony. I…

My First Spinal Placement

Hello SRNAs out there. I just realized haven’t posted much for SRNAs lately. So, this is a long overdue post for you who just started doing spinals in either OR or OB. It has been almost 3 years since I got in my first spinal as a student. I feel that it is time for…

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…