OB: pregnant person for non OB surgery

Question 1

Safest trimester for surgery while pregnant?

Answer 1

2nd

Question 2

How should you prevent preterm labor?

Answer 2

avoid manipulation of the uterus

Question 3

Optimal anesthesia technique?

Answer 3

regional w minimal drug use

Question 4

3 meds to avoid?

Answer 4

benzos, nitro, NSAIDs

Question 5

What type of induction?

Answer 5

RSI w pretreatment for Mendelson’s

Question 6

What is a version?

Answer 6

done when fetus has breech presentation

Question 7

What is a good anesthetic technique for version and how many weeks along do they typically do it?

Answer 7

epidural; 36-38 weeks

Question 8

Version: OR should be ready in the event of?

Answer 8

uterine rupture

Question 9

What is a spinal headache?

Answer 9

puncture of the dura resulting in slow CSF leak

Question 10

S/s spinal HA?

Answer 10

light sensitive, better lying down, frontal HA, neck pain

Question 11

Why does a HA result in spinal puncture?

Answer 11

displacement of medulla d/t decreased CSF

Question 12

Treatment for spinal HA most effective how many hours after spinal puncture?

Answer 12

24 hours

Question 13

Conservative tx of spinal HA?

Answer 13

caffeine, fluids, NSAIDs

Question 14

Blood patch is how effective for spinal HA?

Answer 14

90-95%

Question 15

One of most imp factors in creating spinal HA?

Answer 15

needle size

Question 16

What age is most likely to have a spinal HA?

Answer 16

20 year old

Question 17

How do you place a blood patch?

Answer 17

basically same as placing an epidural. draw 20 mL blood from the arm, inject at same level of puncture, pt must lie flat for 30 min