Friday, June 8, 2012

RN's Role in Managing OB Complications


Vyacheslav Belous, DO
Journal of Perinatal and Neonatal Nursing
Vol. 23, No. 1, pp. 23–30

Complications in Obstetric Anesthesia
Nursing’s Role to Anticipate, Recognize, and Respond

Bernadette Balestrieri-Martinez, MSN, RNC, CCNS

This article discusses the important role of nursing staff in being able to recognize complications of obstetric anesthesia.  It stresses the importance of enhanced education in early recognition and treatment of obstetric anesthesia and proposes a curriculum for this purpose. Major complications are listed and detailed, which include local toxicity, high block, post-dural puncture headache, unilateral blocks or patchy blocks, bladder dysfunction, maternal pyrexia, neurologic complications, pulmonary aspiration, difficult/failed intubation, hypotension, hypovolemia, malignant hyperthermia, and cardiovascular instability.

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