Arixtra......how long to wait

[joncmarkley]

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27 week triplets for section last night....took arixtra 24 hours earlier, OB doesn't want to wait). Elimination half-life is 17-21 hours. When would you ladies and gents do a spinal, 3 half lives? Pent/ket/sux/tube for me.

ps she bleed like stink during surgery

Thanks

 

[fakin' the funk]

i'll save the other students in the house a google search...

Arixtra = fondaparinux

 

[coprolalia]

The ASRA guidelines are quite clear on this. Or, to put it more bluntly, she's f*cked. It's a GA, unless you're ready to enroll her in a clinical trial...

Until further clinical experience is available, performance of neuraxial techniques should occur under conditions utilized in clinical trials (single needle pass, atraumatic needle placement, avoidance of indwelling neuraxial catheters). If this is not feasible, an alternate method of prophylaxis should be considered.

http://www.asra.com/consensus-statements/2.html

What she should be asking her OB (or other physicians) is who was the knucklehead who prescribed this in a pregnant woman, and a multiparous to boot.

-copro

 

[Noyac]

The ASRA guidelines are quite clear on this. Or, to put it more bluntly, she's f*cked. It's a GA, unless you're ready to enroll her in a clinical trial...



http://www.asra.com/consensus-statements/2.html

What she should be asking her OB (or other physicians) is who was the knucklehead who prescribed this in a pregnant woman, and a multiparous to boot.

-copro

There are more than just a few knuckleheads out there and they seem to be breeding like rabbits. Those of you in training have no idea.😱 I see pts all the time going through some of the craziest "medical" treatments b/c their doctors say they need it. Usually it is some wacked out FP doc trying to make some money, not in this case.
I had a pt come to me for a cervical fusion who received an "infusion" to help her recover from anesthesia. Some quack FP in town told her that the anesthesia for this surgery would keep her down for a week or more if she didn't let him give her this "infusion". When I asked her what it was she said that she didn't know. I then asked her why she would let somebody give her something like this if she didn't know what it was. She then started to cry and I knew I was deep in the ****. I called this quack to ask what it was he was giving but he wouldn't speak with me. Go figure.

 

[coprolalia]

I called this quack to ask what it was he was giving but he wouldn't speak with me. Go figure.

I hate physicians who abuse the public's trust. Gives us all a bad name. Keep fightin' the good fight, bro.

-copro

 

[VentdependenT]

These dudes watied 48 to PULL the epidural....guess that doesn't help us out here.
http://www.anesthesia-analgesia.org/cgi/content/abstract/105/6/1540

ASRA says don't even bother
http://www.anesth.utmb.edu/ASRA.htm

Half life is 17-21 hours....so you could...uhh...wait till 4.5 of those go by and then safely do it.

Nice consensus for the rest of yall
http://64.233.167.104/search?q=cach...006&hl=en&ct=clnk&cd=7&gl=us&client=firefox-a

 

[Gern Blansten]

There are more than just a few knuckleheads out there and they seem to be breeding like rabbits. Those of you in training have no idea.😱 I see pts all the time going through some of the craziest "medical" treatments b/c their doctors say they need it. Usually it is some wacked out FP doc trying to make some money, not in this case.
I had a pt come to me for a cervical fusion who received an "infusion" to help her recover from anesthesia. Some quack FP in town told her that the anesthesia for this surgery would keep her down for a week or more if she didn't let him give her this "infusion". When I asked her what it was she said that she didn't know. I then asked her why she would let somebody give her something like this if she didn't know what it was. She then started to cry and I knew I was deep in the ****. I called this quack to ask what it was he was giving but he wouldn't speak with me. Go figure.

We have got to hear some follow up on this one when you get it. Sounds interesting.

 

[DrDre']

We had two deaths in our city because a ND was giving IV colchicine to treat fibromyalgia. Oops.

We have got to hear some follow up on this one when you get it. Sounds interesting.

 

[jetproppilot]

There are more than just a few knuckleheads out there and they seem to be breeding like rabbits. Those of you in training have no idea.😱 I see pts all the time going through some of the craziest "medical" treatments b/c their doctors say they need it. Usually it is some wacked out FP doc trying to make some money, not in this case.
I had a pt come to me for a cervical fusion who received an "infusion" to help her recover from anesthesia. Some quack FP in town told her that the anesthesia for this surgery would keep her down for a week or more if she didn't let him give her this "infusion". When I asked her what it was she said that she didn't know. I then asked her why she would let somebody give her something like this if she didn't know what it was. She then started to cry and I knew I was deep in the ****. I called this quack to ask what it was he was giving but he wouldn't speak with me. Go figure.

😱

Mikey, that sounds like something that happens in Acapulco.

Not in the snowy land of the rich and famous, huh?

 

[jetproppilot]

We had two deaths in our city because a ND was giving IV colchicine to treat fibromyalgia. Oops.

Yeah, but you're in Compton, Dre.

 

[tussionex]

We had two deaths in our city because a ND was giving IV colchicine to treat fibromyalgia. Oops.

from medwatch
http://www.fda.gov/medwatch/safety/2008/safety08.htm#colchicine