Availability of total intravenous anaesthesia for obstetric surgery

Scale, Rachel; Johnson-Hughes, Hannah; Metodiev, Yavor

doi:10.1097/eja.0000000000001855

Cited by 2 publications

(2 citation statements)

References 8 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It shows that TIVA was used for 6.6% of obstetric GAs in participating units, with the majority used for non‐time‐critical surgery. Interest in obstetric TIVA is increasing [ 16 ], and use in non‐obstetric surgery is becoming commonplace, with training in the technique now a requirement in the UK anaesthetic training curriculum. If the use of TIVA increases to the extent that it becomes the majority technique for GA, anaesthetists may have less confidence and experience with volatile anaesthesia, and individual preference for this technique may mean that it becomes the default in obstetric practice.…”

Section: Discussionmentioning

confidence: 99%

ObsTIVA‐UK: a service evaluation of obstetric total intravenous anaesthesia in the United Kingdom

Metodiev,

Iliff,

Sharif

et al. 2024

Anaesthesia Reports

View full text Add to dashboard Cite

SummaryWe conducted a prospective observational service evaluation across the United Kingdom on the use of total intravenous anaesthesia (TIVA) for obstetric surgery between November 2022 and June 2023. The primary aim was to describe the incidence of TIVA for obstetric surgery within participating units, with secondary aims to describe maternal and neonatal postoperative recovery indicators. Of 184 maternity units in the United Kingdom, 30 (16%) contributed data to the service evaluation. There were 104 patients who underwent caesarean delivery under TIVA and 19 patients had TIVA for other reasons. Infusions of propofol and remifentanil were used in 100% and 84% of cases, respectively. Fifty‐nine out of 103 live neonates (57%) required some form of respiratory support. Of the neonates with recorded data, 73% and 17% had Apgar scores < 7 at 1 and 5 min respectively. No neonates were recorded to have Apgar scores < 7 at 10 min. Further prospective research is required to investigate the impact of obstetric TIVA on maternal and neonatal outcomes and inform best practice recommendations.

show abstract

Section: Discussionmentioning

confidence: 99%

ObsTIVA‐UK: a service evaluation of obstetric total intravenous anaesthesia in the United Kingdom

Metodiev,

Iliff,

Sharif

et al. 2024

Anaesthesia Reports

View full text Add to dashboard Cite

show abstract

“…The use of TIVA in obstetrics is not widespread despite being shown to be feasible in this setting [33]. This is perhaps due to concerns around safety, inconsistent access to essential equipment and the time-critical nature of some cases where a general anaesthetic is required [34].…”

Section: Obstetric Anaesthesiamentioning

confidence: 99%

Anaesthetic subspecialties and sustainable healthcare: a narrative review

Oliver,

Charlesworth,

Pratt

et al. 2024

Anaesthesia

View full text Add to dashboard Cite

SummaryThe principles of environmentally sustainable healthcare as applied to anaesthesia and peri‐operative care are well documented. Associated recommendations focus on generic principles that can be applied to all areas of practice. These include reducing the use of inhalational anaesthetic agents and carbon dioxide equivalent emissions of modern peri‐operative care. However, four areas of practice have specific patient, surgical and anaesthetic factors that present barriers to the implementation of some of these principles, namely: neuroanaesthesia; obstetric; paediatric; and cardiac anaesthesia. This narrative review describes these factors and synthesises the available evidence to highlight areas of sustainable practice clinicians can address today, as well as posing several unanswered questions for the future. In neuroanaesthesia, improvements can be made by undertaking awake surgery, moving towards more reusables and embracing telemedicine in quaternary services. Obstetric anaesthesia continues to present questions regarding how services can move away from nitrous oxide use or limit its release to the environment. The focus for paediatric anaesthesia is addressing the barriers to total intravenous and regional anaesthesia. For cardiac anaesthesia, a significant emphasis is determining how to focus the substantial resources required on those who will benefit from cardiac interventions, rather than universal implementation. Whilst the landscape of evidence‐based sustainable practice is evolving, there remains an urgent need for further original evidence in healthcare sustainability targeting these four clinical areas.

show abstract

Availability of total intravenous anaesthesia for obstetric surgery

Cited by 2 publications

References 8 publications

ObsTIVA‐UK: a service evaluation of obstetric total intravenous anaesthesia in the United Kingdom

ObsTIVA‐UK: a service evaluation of obstetric total intravenous anaesthesia in the United Kingdom

Anaesthetic subspecialties and sustainable healthcare: a narrative review

Contact Info

Product

Resources

About