Neuraxial Pharmacology 2025-Part 2

Video Transcription

Video Summary

In this comprehensive lecture on local anesthetic pharmacology tailored to obstetric clinical use, the speaker emphasizes personalized treatment over standardized dosing due to varied patient responses and scenarios. The discussion covers the application of local anesthetics, particularly in C-sections and epidurals. Key anesthetics include 2-chloroprocaine, known for a rapid onset but short duration, bupivacaine, commonly used in spinal blocks, and ropivacaine, favored for its safety profile in epidurals. The lecturer details handling different case dynamics: scheduled, urgent, and emergent C-sections, stressing the importance of timing and procedural knowledge. The talk also tips professionals to use ondanetron for mitigating blood pressure swings during anesthesia and suggests alternative postoperative pain management like tap blocks. The presentation rounds off with guidance on managing epidurals and anticipates further discussion in a practical workshop setting.

Keywords

obstetric anesthesia

local anesthetics

C-sections

epidurals

bupivacaine

postoperative pain management