Dear Dr. Bhatt,


                   It is really good that you are seeking knowledge, but please do not say that Indian doctors are working without protocol, you may not have it at your institute that is a different matter. Such type of generalizations are bound to create a negative opinion about the professional std. of Indians practicing Anesthesia in India. I have got all my education from India and I was always given a protocolized approach. Try to seach some more before making such negative conclusions.

regards,

Quote from: yogenbhatt1 on June 08, 2007, 12:39:37 PM
Sir,
Good list of Journals given by you.
     I am interested in some kind of Protocol for Anaesthesia in C. Section. I wish to present it  in the court of law for a case against one of our Anaesthesiologist coleague. He had a mortality following a Mendelsons' Syndrome.
     The court has asked him to present some protocol based aproach to Anaesthesia.
I found some practice guide lines in ASA journal.
      In India we have no such protocol as per my knowledge. You have some in any country?
Please let me know.

Ideally speaking all the sedation should be stopped for a while -something which is known as sedation vacation, this in general should take care of majority of complication along with reducing complication of mechanical ventilation ( like VAP,delayed recovery etc.). Also we can change propofol to benzodiazapines and back if the need be, of couse the main menu in such cases is opioids but for anxiolysis and sedation benzodiazapines are good choices. Even dexmedetomedinies can be used for shorter period as change over drugs.

Quote from: hillpeng on February 14, 2009, 01:48:58 AM
come back,  haha .its procaine

hello doctor,
                  I can not still understand the logic of getting the case done under TEA when you yourself found that patient was pretty sick,I am sure you are aware of the recommandation for getting caes done under TEA.Already the patient was desaturating what if you have higher than required block?you would have landed nowhere,are there any description of getting the case done like this?would you have done this to a patient in west?or even any of the private corporate set up in India?

well i dont know the fun of getting a case of RUPTURED LIVER ABCESS WITH RIGHT SIDED PLURAL EFFUSION SIGNIFICANT ENOUGH TO COMPROMISE SPO2 to be done under epidural anaesthesia.this is an obviouss emergency in which ensuring the safety of the patients is of paramount importance,this man was definitely sick and required adequate respect for his condition,what was contraindication of not getting the case done under G.A.,in other words what advantage d o we gain operating such case under TEA. although TEA might be a good idea to take care of the postoperative pain.what was the coagulation profile like

how was the intraoperative ccourse wass blood transfused can you please eleborate on the outcome,although I t certainly is very pleasent to see succh cases,shaRE YOUR EXPERIENCE WITH US ::)

how are your results,did prone position affact the durstion of the block?
I've performed spinal anaesthesia in the prone position in 60 patients for the spine surgery (i.e. lumbar disk erniation).
I 'ld like to discuss about this personal technique
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