They did a c-section without anesthesia - page 7

The pt had an epidural, but it didn't do the trick. We don't have in-house anesthesia, and it took 20 minutes to get to the hospital. meanwhile there were heart tones in the toilet and the baby... Read More

  1. by   Nursein2007
    owie!!! ouch!!
  2. by   Nursein2007
    That sounds terrible!
  3. by   L&Doldtimer
    I'm bthinkin 20 minutes is a long long time when you've got a prolapsed cord, unsuccessful vacuum attempt-just a FHR in the basement. Where I worked before the CRNAs were required to stay in-house if they had an epidural going-where I am now, they are out the door before the pt. is even comfortable sometimes! I would much prefer to have anesthesia at the ready. I've been in on 2 "local" c/sections and I don't think the local did the trick at all. It was a horrible experience both times but in both cases we had good outcomes. We were 7 minutes one time from finding a cord prolapsed until the baby was out-that's my idea of code red.
    Connie
  4. by   rnmomtobe2010
    Are mother and baby ok?
  5. by   daisybaby
    This thread is over a year and a half old........
  6. by   MIcrunchyRN
    lol deleting seeing this is really old :P
  7. by   Nefertari1279
    "Post-op, the 18-yr-old primip pt did fine, didn't seem traumatized or even seem to realize that what happened was not normal, from what I heard"

    Poor thing was most likely in shock, I'm glad Mom and Baby are "ok" but something about this just doesn't seen right.
  8. by   SuesquatchRN
    Heh. I work in a tiny CAH that, as has been said, "stabilizes and ships."

    We use mid-levels - I'd never heard of them until I moved from NYS - and you get a doc for an MI or CVA.
  9. by   tbeemantx
    I have had this happen as well with an anesthesiologist. It was my case and the pt was obviously hysterical. She was given a Versed cocktail to make sure she forgot the whole incident, but all of us in the OR knew what was happening. It was a new anesthesia group, but still inexcusable. In my opinion, it was the OB doc that was responsible as she continued to cut regardless of what the pt was screaming. Eventually, the general anesthesia kicked in and the c/s continued after a brief pause at the anesthesiologist's request. It was ridiculous.
  10. by   jwk
    Quote from tbeemantx
    I have had this happen as well with an anesthesiologist. It was my case and the pt was obviously hysterical. She was given a Versed cocktail to make sure she forgot the whole incident, but all of us in the OR knew what was happening. It was a new anesthesia group, but still inexcusable. In my opinion, it was the OB doc that was responsible as she continued to cut regardless of what the pt was screaming. Eventually, the general anesthesia kicked in and the c/s continued after a brief pause at the anesthesiologist's request. It was ridiculous.
    That's called an impatient OB doc - nothing to do with the anesthesiologist.
  11. by   Jill10191130
    At the small rural hospital where I used to work, we had a case where a section was done without anethesia. There was a mixup with the CRNA's on call. There was a stat section and baby was dieing. I think first hearttones were inthe 60's. They told the mother that they could do it without anethesia and attempt to save the baby or they could wait on anethesia. She said "do it". They said she lay her arms out and told them to cut her. Nurses layed over her arms, upper body, and legs while he cut. Baby survived. Mom was later transferred to a large high risk facility because she ended up having some type of rare, life threatening disorder or pregnancy that wasn't caught up until this happened with the baby. Last I heard, both mom and baby were doing well though. I work in a much larger facility now. Sometimes I wonder how I worked there so long. There was so much risk involved that I didn't see at the time.
  12. by   cmhueto
    I know this is an old forum...but I'm an RN...and I had this experience as a pt. My epidural wasn't sufficent, it didn't deaden anything...and when the ob started to cut I felt a hot burning pain unlike anything I could even imagine prior to this event. I was given some versed too, but it only blocked a few moments, and then afterward the anethesia staff left the OR while I was still writhing in pain. They transferred me to my room and according to my medical records it took another one and a half hours for them to start setting up my pca...and in that time no pain meds were given. After being transferred to postpartum with meds!! of course the dr's and midwife came by to check on me but not once did they explain why they left me in such excruciating pain. It was the elephant in the room. Apparently they thought the versed worked. I was angry, felt abandoned by those suppose to take care of me, and felt passed over like I was ignorant...but they knew I was an RN! I know they could have used a local, but later it was explained that once the ob started cutting that nothing could have been done at that point. bull----. My baby is 4 months old and healthy, but my birthexperience was a nightmare, Ive since asked the hospital to compensate by not charging me the anethsia, and they've taken the whole bill away. I would maybe do more but I work for the same hospital! I definitly have a better understanding of pain and empathise more with my pt's now. I don't make them wait for pain meds for sure! But there are many nights I can't sleep, that the whole experience comes back...I'm seeking therapy of course..it isn't going to be an easy thing to "get over".
  13. by   edowhitetop
    Never experienced C-section without anesthesia but do understand the idea as I did experience the extraction of a wisdom tooth without anesthesia. They had shot me up with novocaine but the instant they started pulling it became evident that it had not hit the right spot. The dentist noticed that I reacted and asked if I needed something. I did not want to sit for several minutes with a tooth part-way out while we waited for a new series of shots to take effect. So I said "no" and he finished pulling the tooth.

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