RE: [ozmidwifery] post LUSCS analgesia
Spinal morph can result in the awful itchies and nausea. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Andrea Quanchi Sent: Saturday, 25 June 2005 10:04 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] post LUSCS analgesia Get your anaesthetists to look into the spinal morph becauses it does make a huge difference and seems to have no effect on the babies at all. I would say that it has no effect but dont actually know that for sure whether it crosses the barrier whereas oral oxycontin would cross into the breast milk. . Our guys put 1 mg into the spinal after the local, Andrea On 24/06/2005, at 7:20 PM, Nicole Carver wrote: I forgot to say that the oxycontin 5mg 2-4hrly is prn. There is a wide variation amongst our patients, as to how much of the prn oxycontin is given. Some manage without any at all, but most have several doses on the first day, and a couple on the second. However, reading the other responses, it does sound like a lot. Perhaps depends what was used in the spinal in theatre. We don't use morphine in theatre, so that may be the difference. We used to use Prolodone supps which we found very effective, but they were replaced by the new regime. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ken WArd Sent: Friday, June 24, 2005 7:02 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia seems like a lot. Coming from a unit where im analgesic was heavily used, I was greatly impressed with the voltaren/panadol regime. The women are up and about so much quicker, more alert and caring for their babies sooner. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver Sent: Thursday, 23 June 2005 10:23 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia Hi Sally, We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease the oxycontin and commence Panadeine Forte in place of the Paracetamol. However, we have to watch out for constipation. Otherwise it seems to be a good regime. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] post LUSCS analgesia
seems like a lot. Coming from a unit where im analgesic was heavily used, I was greatly impressed with the voltaren/panadol regime. The women are up and about so much quicker, more alert and caring for their babies sooner. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver Sent: Thursday, 23 June 2005 10:23 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia Hi Sally, We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease the oxycontin and commence Panadeine Forte in place of the Paracetamol. However, we have to watch out for constipation. Otherwise it seems to be a good regime. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] post LUSCS analgesia
Get your anaesthetists to look into the spinal morph becauses it does make a huge difference and seems to have no effect on the babies at all. I would say that it has no effect but dont actually know that for sure whether it crosses the barrier whereas oral oxycontin would cross into the breast milk. . Our guys put 1 mg into the spinal after the local, Andrea On 24/06/2005, at 7:20 PM, Nicole Carver wrote: I forgot to say that the oxycontin 5mg 2-4hrly is prn. There is a wide variation amongst our patients, as to how much of the prn oxycontin is given. Some manage without any at all, but most have several doses on the first day, and a couple on the second. However, reading the other responses, it does sound like a lot. Perhaps depends what was used in the spinal in theatre. We don't use morphine in theatre, so that may be the difference. We used to use Prolodone supps which we found very effective, but they were replaced by the new regime. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ken WArd Sent: Friday, June 24, 2005 7:02 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia seems like a lot. Coming from a unit where im analgesic was heavily used, I was greatly impressed with the voltaren/panadol regime. The women are up and about so much quicker, more alert and caring for their babies sooner. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver Sent: Thursday, 23 June 2005 10:23 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia Hi Sally, We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease the oxycontin and commence Panadeine Forte in place of the Paracetamol. However, we have to watch out for constipation. Otherwise it seems to be a good regime. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] post LUSCS analgesia
As a consumer I'm finding this very intriguing. I was given suppositories in the OR then nothing but panadol thereafter and went home the same day. I was offered a huge C class drug to take home (and assured it didn't cross into bm despite asking directly - big lie there) but I never took them. I took panadol occasionally for about a fortnight afterwards and that was it. To think I could have had this pharmacopaeia at my disposal! What a window into hospitals I'm getting! Thanks! J -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] post LUSCS analgesia
Hi Sally, We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease the oxycontin and commence Panadeine Forte in place of the Paracetamol. However, we have to watch out for constipation. Otherwise it seems to be a good regime. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] post LUSCS analgesia
Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] post LUSCS analgesia
Don’t forget to ask the WOMEN who will be taking the drugs and explain exactly what each drug does to breast milk! Cheers Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:22 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 6/21/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 6/21/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] post LUSCS analgesia
Our women come back from theatre with only an IDC insitu, and IVT. No epidural. Women are given PR Voltaren bd (100mg) and PR Paracetamol (1g) qid, until eating. Once eating and tolerating diet(usually within 24 to 36 hours), oral voltaren (50mg) and oral paracetamol are given. The volataren is only given for a total of 3 days. Paracetamol is weaned as required...most women are needing less panadol by day 4to 5. I have found this to be very effective for pain reliefmore effective than leaving the epidural in for 24hours, as i have seen in the past. Tanya - Original Message - From: sally williams [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 22, 2005 12:51 AM Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] post LUSCS analgesia
What I am used to is the women having a spinal and that 1-2mg morphine is put in the spinal. The woman has a voltaren 100mg supp whilst in theatre post op and then BD or swaps to oral 50mg as chosen. We start giving regular panadol within 24 hours usually prior to getting her up or as needed but encourage the woman to ask for it regulkarly and we find this is all they need. What often happens is that they wait for midwives to offer it and then need panadeine but I find if you give the panadol regularly with the oral voltaren this is usually adequate. Andrea Q On 22/06/2005, at 5:51 PM, sally williams wrote: Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] post LUSCS analgesia
We use 1g panadol and 100mg doloxene given (usually) together, and then 400mg ibuprofen in between if they need it. Usually they have the intrathecal morphine, but can also come back from theatre with either a PCA (patient controlled analgesia) with morphine, or pethidine or fentanyl. Or thy have a PCEA (patient controlled epidural analgesia). Katrina On 22/06/2005, at 10:44 PM, Andrea Quanchi wrote: What I am used to is the women having a spinal and that 1-2mg morphine is put in the spinal. The woman has a voltaren 100mg supp whilst in theatre post op and then BD or swaps to oral 50mg as chosen. We start giving regular panadol within 24 hours usually prior to getting her up or as needed but encourage the woman to ask for it regulkarly and we find this is all they need. What often happens is that they wait for midwives to offer it and then need panadeine but I find if you give the panadol regularly with the oral voltaren this is usually adequate. Andrea Q On 22/06/2005, at 5:51 PM, sally williams wrote: Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] post LUSCS analgesia
I agree...the panadol and voltaren must be given regularly for the first 3 days, to be most effective. Tanya. - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 22, 2005 5:44 AM Subject: Re: [ozmidwifery] post LUSCS analgesia What I am used to is the women having a spinal and that 1-2mg morphine is put in the spinal. The woman has a voltaren 100mg supp whilst in theatre post op and then BD or swaps to oral 50mg as chosen. We start giving regular panadol within 24 hours usually prior to getting her up or as needed but encourage the woman to ask for it regulkarly and we find this is all they need. What often happens is that they wait for midwives to offer it and then need panadeine but I find if you give the panadol regularly with the oral voltaren this is usually adequate. Andrea Q On 22/06/2005, at 5:51 PM, sally williams wrote: Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
