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Contradiction of spinal anesthesia in pregnant females



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Jun 03, 2009 12:09 PM

Contradiction of spinal anesthesia in pregnant females

by krzysiu

Hey all,

When is a spinal anesthetic contraindicated in a pregnant female?
1) Pt refusal
2) With any kind of coagulation issues
3) WHAT ELSE?

Thanks for your input.


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2 Comments
No. 1
from APNgonnabe
Old Jun 08, 2009, 10:08 PM

Default Re: Contradiction of spinal anesthesia in pregnant females
I strongly encourage you to pick up additional resources to answer this question for you, however.. according to Johns Hopkins Manual of OBGYN they list: uncorrected/untreated coagulopathy, skin infection at the site (side note: i've heard of anesthesia providers not doing thing through tattoos), bacteremia, refractory HoTN/hypovolemia, increased ICP, extensive surgery at the site.
Disclaimer: not a CRNA
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No. 2
from nurselizk
Old Jun 09, 2009, 06:50 PM

Default Re: Contradiction of spinal anesthesia in pregnant females
unstable CNS dz, elevated ICP, aortic stenosis, to name more...
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