Anesthesia Discussion > Obstetric Anesthesia

block second stage of labor

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dr kozlov:
i use cse for labor pain, but in spinal i put bupivacain 0.5 ml 0.75% hyperbaric in dextrose and after placing the catheter let them sit for 7 minutes to achieve solid sacral block, sacral block lasts thru whole labor, it s maintained by epidural pump solution(0.0625% 12 ml per hour) leaking thru dural puncture----possible to achieve painless labor---all episotomies,repairs, lacerations   even inserting folley end exam painless
any thoughts ?

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