Great ..........
just what i needed .......
very thanks !!!!
i 'll use certainaly for my database !!! ;) ;)

Quote from: drsimant on December 26, 2006, 10:19:31 AM
........I WANT TO KNOW where i went wrong?.......

Situations like this are very difficult. Every decision can have positive or negative aspects, so is very difficult to find some error. Surely your conduct was accurated and precise. Personally I would have preferred a general anesthesia with intubation from the beginning. Remains to understand the reason of the desaturation and the tachycardia followed by cardiac arrest. Perhaps the patient had suffered of serious intrauterine hemorrhage with severe hypovolemya.

First of all ........ nice to meet you
This is my first time in this forum.
I'm Stefano Soriano from Italy, 35 , and i work in a department of anaesthesia and intensive care.

Sorry for my bad english ..........  :P i hope to improve it with all you.

After the presentation id like to partecipate in this discussion.

The thoracic epidural is presented here like an alternative when gas anaesthesia is totally contraindicated: but when gas anaeshesia is total contraindicated ( ie: malignant iperthermia) i think - generally- to prefer TIVA especially if the patient is hemodynemically stable.