Foley placement BEFORE anesthesia?? - page 4

by jodyangel

5,397 Unique Views | 40 Comments

Ok where I'm working atm they put the foley in the mom BEFORE the spinal. Yeah in the triage room where she is waiting to go back for her csection. I think its crazy. I was use to placing the foley immediately after they laid... Read More


  1. 1
    It takes about 2 mins to place a foley. I can't see how that argument would hold up..
    klone likes this.
  2. 0
    Agree, Jody. Also, I would hope that it's pretty rare for women to be getting GA.
  3. 0
    Quote from klone
    Agree, Jody. Also, I would hope that it's pretty rare for women to be getting GA.
    Not terribly rare. I got general for my c-section. If a patient's platelets are too low, the baby is in distress, or the mother has some sort of issue that precludes a spinal, then general it is.
  4. 0
    Quote from jodyangel
    It takes about 2 mins to place a foley. I can't see how that argument would hold up..
    2 minutes is still too long with general. The paralytics and sedatives do get to the baby, and it doesn't take long.
  5. 0
    I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

    Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.
  6. 0
    Idk, but I'd say our spinals well outweigh our generals. But both are used. And yes, I do believe that every little bit of time is valued. As is having good IV access before transporting to OR. From the incision to the baby's birth is also very quick, in most circumstances. I had to deal with this issue when I ruptured, with twins, at 26 wks. I'd had an aversion to having a spinal, but went with it because I knew it was really much better for preemie births. Didn't like it though...lol. My stupid arms shook violently against the restraints the whole time. They couldn't give me anything to relax that until the babies were out.
  7. 0
    Quote from brillohead
    I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

    Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.
    I had a Foley placed once the c-section was called (it was uncomfortable, but compared to 12 hours of labor on Pit with no epidural, it barely registered). C-section was for CPD. Baby was out very quickly after general was administered, but he still had to be bagged, and his APGARS were 6/8. I had general because I have a health issue that precludes epidurals and spinals. I've never seen a doctor (anesthesia or OB) who would be willing to let a nurse do a Foley after general.
  8. 0
    Monkey bug..I have never mentioned general. I'm talking spinal anest.
  9. 0
    Quote from brillohead
    I ended up with an emergent c-section due to fetal distress. The anesthetist and CRNA tried a total of three times to get the spinal in me, and at that point the OB just said, "Enough! Put her out!" because they wanted the baby out ASAP.

    Because they had placed an internal monitor earlier, I already had a Foley cath in place, so as soon as I was "under" they started slicing. Even with as quickly as they were able to get the baby out, he still didn't breath independently for the first four minutes on the outside. I can definitely see how even a couple extra minutes of general anesthesia could have an impact on the newborn.
    Brillohead...I think perhaps the fetal distress was why your baby had trouble. But as I said..I'm Not talking about putting foleys in for woman getting general. The only reason I saw anyone get general anest was either it was a True stat, or the mom couldn't get numb.
  10. 0
    Yeah, where I work, GA is pretty uncommon. We have very few true "splash and slash" C/S.
    I think, when it looks like things are heading in that direction, we encourage the woman to get an epidural so that she's already ready to go and won't need GA.


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