Tag Archives: anesthesiology

A scree on Andre Picard’s recent op ed…

I don’t think I’ve written a post in a while…more than a year?  I’ve been busy.  But something recently inspired me to come out of my “retirement,” and that something was Andre Picard’s piece in the Globe and Mail, “It’s time to stop treating pregnancy like a disease.” It is so egregious, so ignorant and […]

Why observational studies need to be interpreted with extreme caution

Since my son is taking longer and longer naps, I’ve had more time on the weekends to do things…like read the issues of Anesthesia and Analgesia that have been piling up over the last few months. I came across a very interesting observational study by Robert S Greenberg, Melania Bembea and Eugeni Heitmiller entitled, Rainy Days for […]

The mechanics of anesthesia, a post by request.

This post is inspired by the following comment: I have a question for you, and can’t seem to find your contact info, so I’m choosing this completely inappropriate forum to ask it. Hope you don’t mind! Would you consider doing a post or something of that ilk on what to expect when one goes in […]

The “mandatory” labour epidural…

I come across quite a bit of information on the internet about how bad epidurals are, how risky they are, how they will eat your babies with butter and salt and torture puppies…Okay, maybe not the last two but I think you get my drift. There is this idea of a “mandatory epidural” circulating on message […]

I’m afraid of having an anesthetic

I’ll confess.  I’m afraid of having a general anesthetic. Seem strange given my profession?  Anesthesia is safer than it’s ever been.  I’ve given thousands of anesthetics myself.  I know about the massive observational studies that tell us modern anesthetics are low risk – especially in patients like myself who are perfectly healthy. But I’m still afraid.  […]

Epidurals and progression of labour

Today I’m going to investigate the claim made by NCB advocates that epidurals slow down labour.  I use the term “today” loosely,  I have a young infant and he hasn’t quite figured out how to be self-sufficient yet. “executive summary” epidurals prolong the first stage of labour compared to opioids for analgesia – but only by 30 […]

Epidurals and Breastfeeding II

Sorry…this post is going to be a TL,DR (too long, didn’t read) for many people so here is the summary: There are only two studies that are prospective, randomized trials of epidural medications and their effects on breastfeeding.  The first, by Beilin and friends (et. al.) found no association between epidural medications and breastfeeding difficulties […]

What really happens during a C-section

I find it absolutely appalling that many childbirth “education” classes don’t cover Caesarian sections (C/S) or gloss over them.  Statistically, 20-30% of women will have an operative birth.  Birth, by the way, is thus defined by the free dictionary, “the emergence and separation of offspring from the body of the mother.”  Birth does not require […]