Pre-Op
T/F: We recommend bowel prep the night prior to Cesarean sections
FALSE
(High evidence, strong recommendation)
Patient should remain in a state of ____thermia during C/S.
Normothermia
T/F: Bed rest x24 hours is recommended after surgery
FALSE
Early mobilization is recommended (Low evidence, strong recommendation)
Toradol is contraindicated for post-operative pain control in these circumstances (1)
known kidney disease or high bleeding risk
Amount of time prior to scheduled surgery patient can consume a light meal.
6 hours
T/F: Regional anesthesia is preferred over general anesthesia (for Cesarean sections)
TRUE
Low evidence, strong recommendation
VTE prophylaxis method utilized for everyone during recovery period
SCDs
Low evidence, strong recommendation
This may be given pre-operatively 1 hour prior to scheduled surgery to reduce post-op pain
Tylenol 1000 mg
What should you give immediately pre-op to reduce risk of aspiration pneumonitis?
Antacids or histamine H2 receptor antagonists
(Low evidence, strong recommendation)
If >__ cm of subcutaneous tissue, it is recommended to reapproximate the layer
2
Moderate evidence, weak recommendation
T/F: Heparin is used routinely after CD
FALSE
Low evidence, weak recommendation
Common side effects of morphine (must get 2)
Itching, nausea/vomiting
What type of antimicrobial soap is shown to be SUPERIOR?
CHG > Iodine
When should IV antibiotics be administered? (Give specific time)
Within 60 minutes before skin incision; ideally 30-60 minutes
(high evidence, strong recommendation)
2
High evidence, strong recommendation
Describe the type of post-op pain control recommended by ERAS after CD
Multimodal pain control: NSAIDS w/Tylenol, consider TAP block, consider morphine
Moderate evidence, strong recommendation
What maternal condition is associated with low birthweight, preterm birth, and increases perioperative mortality and morbidity?
Anemia
(Moderate evidence, strong recommendation)
In a laboring patient with ruptured membranes who then needs a Cesarean section, what intervention could be performed prior to start of CS to reduce postcesarean infections? (not additional IV abx)
Vaginal prep with iodine
Moderate evidence, weak recommendation
According to ERAS guidelines, when should the urinary catheter be removed after CD?
IMMEDIATELY!
Low evidence, strong recommendation
What type of class is a CS that is performed after a patient has been in active labor with ruptured membranes?
Clean contaminated (Class II) incision
or if pt has chorio