Intrauterine Procedures Fetal Vecuronium

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Lauren Gashlin
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Joined: 12/08/2014 - 09:22
Intrauterine Procedures Fetal Vecuronium

Hello,

Our maternal-fetal medicine group occasionally does intrauterine procedures including PUBS and intrauterine fetal transfusion. To facilitate cannulating the umbilical cord (obviously a high risk procedure) they require vecuronium to paralyze the fetus. We are trying to standardize how we dispense vecuronium for these procedures since these cases are so high risk and cause so much anxiety for both the pharmacists and physicians.

Do any other institutions perform these procedures? If so would you be willing to share your dispense process?

Also if you have EPIC, how have handled these orders? Special Order sets/panels?

Many thanks,
Lauren Gashlin PharmD

UR Medicine - Strong Memorial Hospital