Biomedical subjects

G C Ghosh-Ray

Publications and source records attributed to G C Ghosh-Ray.

2 recordsLinked to original sources

PubMed1980

An integrated pain relief service for labour: co-operation between obstetricians, anaesthetists and midwives.

Epidural injections were performed by obstetricians on 1012 patients in a pain relief service in which there was clinical co-operation between anaesthetists and obstetricians. A consultant anaesthetist collaborated in the training of staff providing the service. Midwives maintained the epidural analgesia with top-up doses as part of their traditional role in providing pain relief in labour. Eight-eight per cent of patients were fully satisfied, 10% were helped and 2% had failed epidurals. The forceps rate was 30% and the dural tap rate 1.4%. Junior obstetric staff in training grades can with adequate safeguards make a significant contribution to running an obstetric epidural service.

Anesthesia, Epidural↗

PubMedDate not supplied

Cesarean section with regional anesthesia using an extendable epidural block.

Epidural analgesia was used for 86 deliveries by cesarean section. The placement of a catheter in the epidural space allowed adjustment of the extent of the block so that supplementary analgesia was required in only six patients. Continuous fetal heart rate monitoring was of practical clinical value, especially in treating maternal hypotension. Symptomatic hypotension was avoided or corrected by the intravenous infusion of Hartmann's solution and by the use of a lateral tilt of the operating table. Eleven patients had a blood pressure of less than 100 mm Hg, and in three of these, there was an adverse effect on the fetal heart trace.

Anesthesia, Conduction↗