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Obstetrics I - OSCE > Analgesia & Anastheia > Flashcards

Analgesia & Anastheia Flashcards

1
Q
A
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2
Q

Changes in preganncy that affect Anasthesia

A
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3
Q

Methods of pain control in labor

A
  • Support during labor
  • Non pharmacological methods
  • Pharmacological methods
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4
Q

Methods of pain control in labor

  • Support During Labor
A

By partner, midwife or doula.

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5
Q

Methods of pain control in labor

  • Non-Pharmacological Methods
A
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6
Q

Non-Pharmacological methods of pain control in labor

  • Techniques that decrease pain stimuli
A
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7
Q

Non-Pharmacological methods of pain control in labor

  • Techniques that activate peripheral sensory receptors
A
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8
Q

Non-Pharmacological methods of pain control in labor

  • Techniques that enhance descending inhibitory pathways
A
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9
Q

Pharmacological methods of pain control in labor

A
  • Systemic agents (narcotics & sedatives)
  • Local & regional anesthesia
  • General anesthesia
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10
Q

Pharmacological methods of pain control in labor

  • Systemic agents (narcotics & sedatives)
A
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11
Q

Systemic agents (narcotics & sedatives)

  • Examples
A

Meperidine (pethidine), Morphine & Fentanyl.

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12
Q

Systemic agents (narcotics & sedatives)

  • Risks
A
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13
Q

Systemic agents (narcotics & sedatives)

  • Antagonist
A

Naloxone (0.1 mg/kg IM or IV for neonate)

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14
Q

Local & regional anesthesia

A
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15
Q

Local & regional anesthesia

  • Local infiltration of perineum
A

For episiotomy

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16
Q

Local & regional anesthesia

  • Paracervical Block
A

Rarely used due to associated fetal bradycardia

17
Q

Local & regional anesthesia

  • Pudendal Nerve Block
A
  • Provides perineal anesthesia by anesthetizing pudendal n.
  • Works well for vaginal delivery & episiotomy repair but doesn’t provide adequate anesthesia for forceps delivery
18
Q

Local & regional anesthesia

  • Spinal Anasthesia
19
Q

Uses of Spinal Anasthesia

A

Useful when maternal participation is no longer needed

  • as assisted vaginal delivery, CS & extraction of retained placenta
20
Q

Advantages of Spinal Anasthesia

A

rapid onset & easier to administer than epidural anesthesia.

21
Q

Complications of Spinal Anasthesia

22
Q

General Anasthesia

23
Q

Uses of General Anasthesia

24
Q

Types of General Anasthesia

A
  • Inhalation anesthetics
  • IV anesthetics
25
Q

Types of General Anasthesia

  • Inhalation anaethesia
26
Q

Types of General Anasthesia

  • IV Anesthesia
A

Thiopental & Ketamine.

27
Q

Aspiration Pneumonitis in Obstetrics

  • Incidence
A

Commonest cause of anesthetic death in obstetrics.

28
Q

Aspiration Pneumonitis in Obstetrics

  • Etiology
A

Inhalation of acidic gastric contents (PH < 2.5) → severe chemical pneumonitis.

29
Q

Aspiration Pneumonitis in Obstetrics

  • Signs
A
  • Tachypenia, hypotension
  • Cyanosis, bronchospasm
  • Ronchi, rales & atelectasis.
30
Q

Aspiration Pneumonitis in Obstetrics

  • Prophylaxis
31
Q

Aspiration Pneumonitis in Obstetrics

  • TTT

Obstetrics I - OSCE (32 decks)

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