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Carbon Dioxid and Oxygen Problems in Obstetric Anesthesia.*

Madison, Wis.

Abstract

TOO LITTLE ATTENTION has been paid in the past, by either the obstretician or anesthetist, to a consideration of the physiologic balance of oxygen and carbon dioxid in the fetus during labor. Davis, McKesson, and many others have emphasized the need for enriching the mother's inspired atmosphere with oxygen. Trusler, Guedel and George1 recognize the fact that the fetal respiratory center is apt to be depressed at birth due to narcosis, anoxemia, and trauma. They emphasize the physiologic importance of carbon dioxid in combating such depression. They fail, however, to emphasize, sufficiently, the factor of anoxemia as judged by the fetal heart rate throughout labor. They suggest the possibility, and discount it, of producing intra-uterine respiration by administration of carbon dioxid to the mother.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999