Re: Terbutaline-its use as a tocolytic

[Ken Lawson-Williams <Macgyver@FlightMedicMail.com>]

In Northern and Western Canada we use MgSO4 as a short term tocolytic for transport of a labouring mother (less than 4-6 cm dilation) to a tertiary center for delivery. In the Eastern Ardtic they use Ritodrine (Yutopar) as first line. Have also seen indocid used prior to medevac initiation. Have heard of PO ventolin (salbutamol) for long term prevention of labour and SQ for acute transport situations in Australia - I think it is the same drug as either terbutaline or albuterol. Perhaps an Australian or a  pharmacist type on the list could confirm?

Fly Safe. 
Ken L-W CCEMT-P/WMT

"If in the last few years you haven't discarded a major opinion or 
acquired a new one, check your pulse. You may be dead."
- Gelett Burgess


--- ejvonmutzl@juno.com wrote:
>I am researching the use of Terbutaline as a tocolytic in the air medical field. What are the pros and cons of using it? Is it part of your standing orders? Is there another medication that you prefer over Terbutaline for premature labor?
>
>Sincerely,
>
>Ed Mutzl  FP-C
>Native Air
>Mesa,AZ
>
>
>
>
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