Interventions at Cesarean Section for Reducing the Risk of Aspiration Pneumonitis

Anaesthesia for caesarean delivery: Main methods and indications

“…L'administration d'un antiacide non particulaire visant à augmenter le pH gastrique et donc à diminuer le risque de syndrome de Mendelson en cas d'inhalation est recommandée et systématique [6] : à ce jour, la ranitidine effervescente est la forme galénique la plus habituellement utilisée en France.…”

“…Ces facteurs justifient l'administration orale systématique d'un antiacide type ranitidine effervescent avant l'induction anesthé-sique en utilisant une formulation galénique qui contient au moins 2400 mg de citrate, l'utilisation d'un hypnotique et d'un curare d'action rapide pour cette induction, et la pratique systématique de la manoeuvre de Sellick [6,15].…”

Maternal outcomes in women supplemented with a high-protein drink in labour

“…3,5 A study by O'Sullivan et al 3 supported this claim, showing that consumption of a light diet during labour did not influence obstetric or neonatal outcomes in participants, nor did it increase the incidence of vomiting. 1,6,18 Furthermore, there have been no studies that looked specifically at women at increased risk of complications; hence, there is no evidence to support restrictions in this group of women. Unfortunately, adequately powered trials to definitively demonstrate the effectiveness would be impractical.…”

“…14,22 Such countries have maintained a low incidence of adverse events, and there have been no increase in maternal mortalities due to aspiration; in fact, aspiration deaths have continued to decline. 2,18 In addition to pH and volume, researchers also examined carbohydrate content. Mendelson experimented on rabbits to explore the effects of gastric contents on their lungs.…”

“…Unfortunately, adequately powered trials to definitively demonstrate the effectiveness would be impractical. 1,6,18 Furthermore, there have been no studies that looked specifically at women at increased risk of complications; hence, there is no evidence to support restrictions in this group of women. 6 Despite these limitations, several national organisations have come to advocate a more liberal NPO policy.…”