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Labour should be conducted in the left lateral decubitus position to minimise hemodynamic fluctuations associated with the supine position (aortocaval compression), or erect position in the sympathetically blocked patient with an epidural. refl.in/l6
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Oct 13, 2011
If placing a pre-contraction labour epidural in pregnant cardiac patients (eg HOCM), commencing as an infusion without a loading dose may make it difficult to achieve an adequate block. Consider an epidural loading dose combined with appropriate intravascular volume loading and an appropriate vasopressor infusion if concerned about vasodilation and fall in preload.
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Nov 22, 2011
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Syntocinon, if required, should be infused very slowly and in dilute solution to avoid vasodilation and rapid fall in preload. refl.in/l6
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Nov 22, 2011