Dr. Chapa’s Clinical Pearls. OB Anesthesia New Review
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Aug 8, 2025 Explore the fascinating evolution of anesthesia, highlighting pioneers like William Morton and Horace Wells. Discover how labor epidurals are linked to fever and the complexities of diagnosing causes. Get insights on the evidence debunking the myths surrounding epidurals and autism risk. Learn about the use of phenylephrine during spinal anesthesia for C-sections and the importance of managing fevers in labor. Dr. Chapa covers key management strategies in obstetric anesthesiology in a lively and informative discussion.
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Epidurals And Intrapartum Fever
- Epidurals substantially increase the risk of intrapartum fever but often without infection.
- Because we cannot clinically distinguish infectious from epidural-related fever, management is identical.
Patient Who Assumed Epidural Fever
- Dr. Chapa recounted a graduate student with epidural-associated fever who insisted it was just the epidural.
- He could not disprove infection, illustrating the clinical dilemma and why treatment remained necessary.
Treat Fevers The Same Way
- Treat any intrapartum fever as potentially infectious with antipyretics, IV fluids, and antibiotics as indicated.
- Do not assume an epidural-only cause when deciding management because neonatal and maternal risks persist.