Evaluation of amoxicillin, metronidazole and gentamicin dosage regimens for use in antibiotic prophylaxis in colorectal surgery.

Objectives: To evaluate amoxicillin, metronidazole and gentamicin dosage regimens for antibiotic prophylaxis in colorectal surgery.

Methods: The study was conducted in 20 patients undergoing colorectal surgery. Patients received one or two doses of amoxicillin 1000 mg, metronidazole 500 mg and gentamicin 3 mg/kg ideal body weight, banded by height.

Pre-operative carbohydrate loading prior to elective caesarean delivery: a randomised controlled trial.

Introduction: Women undergoing elective caesarean deliveries are fasted for long periods prior to surgery and can become catabolic. The use of pre-operative carbohydrate drinks to optimise patients ahead of major surgery is now well established. However, evidence to support this in women undergoing elective caesarean delivery is limited.

Achondroplasia: anaesthetic challenges for caesarean section.

Pregnancy in women with achondroplasia presents major challenges for anaesthetists and obstetricians. We report the case of a woman with achondroplasia who underwent general anaesthesia for an elective caesarean section. She was 99cm in height and her condition was further complicated by severe kyphoscoliosis and previous back surgery.

Inadequate pain relief with labor epidurals: a multivariate analysis of associated factors.

Background: Labor epidural analgesia providing inadequate pain relief may cause maternal dissatisfaction and may fail to produce effective anesthesia when topped up for operative delivery. This study looked at factors associated with inadequate labor epidural analgesia.

Methods: Data were prospectively collected from 275 parturients receiving labor epidural analgesia.