Category: ANESTHESIA

SPINAL

• All obstetrical procedures can be performed in spinal anesthesia
• Preferred method for C/S
  • Unless patient is in chock

KETAMINE

• When spinal anesthesia fails
• When spinal anesthesia is contraindicated
  • Shock due to
    • Sepsis
    • Hemorrhage
• Combine with
  • atropine
  • valium
• Recommended doses:
  • 1-5 mg/kg  IV  
  • 5-10 mg/kg IM
  • 1-2 mg/kg at rate of 0.5 mg/kg/min as infusion
    • solution of 1 mg/ml in Normal Saline or Glucose

PUDENDAL BLOCK / SACRAL ANESTHESIA

• Forceps Delivery
• Episiotomy

LOCAL INFILTRATION ANESTHESIA

• Episiotomy
• Symphysiotomy
• C/S

GENERAL INTUBATION ANESTHESIA

• Uterine Rupture
• C/S in Eclampsia.