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In this chapter, we will cover indications and contraindications, complications, informed consent, patient preparation, lung function tests, test phases, and when to terminate a test.
You are seeing a 29-year-old G2P1 with a singleton pregnancy at 34+6 weeks’ gestation for a routine prenatal visit. Pregnancy dating was confirmed by first-trimester sonography. She reports normal fetal activity and has no clinical complaints. Your colleague following her obstetric care is now on a two-month leave. Although mode of delivery was addressed early in prenatal care, your colleague left you a note to discuss a trial of vaginal birth after Cesarean delivery (VBAC) with the patient.
This chapter, provides an overview of epidurals in pediatric anesthesia practice. The author discusses the consideration for placement in the anesthetized patient, use of test doses, and contraindications to placement. Presented are the differences for consideration between pediatric and adult epidurals.
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