Peri-operative management of caesarean section for the occasional obstetric anaesthetist – an aide memoire

Lie, Sui An; Mok, May Un Sam

doi:10.1177/2010105817698160

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…Genel anestezi kontraendike olmadıkça sınıf 1 sezaryen seçiminde tercih edilebilir. Acil sezaryen için gelen hastanın zor havayolu riskini, obstetrik kanamayı ve aspirasyon riskini belirlemek için hızlı bir değerlendirilmesi gerekmektedir (21) . Preoperatif araştırmalar tam kan sayımı, kan grubu, böbrek ve karaciğer fonksiyon testleri ve pıhtılaşma faktörleri incelenmelidir.…”

Section: İstatistiksel Analizunclassified

Our Experiences of Anesthesia in Emergency Cesareans

Karaca¹,

Özgünay²,

Ata³

et al. 2020

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Objective: Cesarean sections constitute the majority of emergency gynecologic and obstetrics operations. In this study, we aimed to discuss the anesthesia methods and results of patients who underwent emergency caesarean section in our hospital retrospectively. Method: Patients who underwent emergency cesarean between January 2015, and December 2017 were retrospectively analyzed. Demographic data, cesarean indication, additional diseases, anesthesia methods, complications in mothers and their infants, 1st and 5th minute Apgar scores of newborns were examined. Patients were divided in groups of general anesthesia or regional anesthesia according to the anesthesia method used in cesarean section. Results: A total of 4874 patients were evaluated. The mean age among the groups was higher in patients undergoing regional anesthesia. ASA scores were higher in general anesthesia group (p<0.001). Our regional anesthesia and general anesthesia application rates were 78.5% and 21.5%, respectively. The most applied anesthesia method was spinal anesthesia (76.2%). The most common indications for emergency cesarean were old cesarean section (33.9%) and fetal distress (30.1%). Apgar scores at the 1 st and 5 th minutes were statistically significant in regional anesthesia group (p<0.05). Meconium aspiration was the most common complication in neonates (1.9%), and 34 (0.7%) infants died. Regional (76.8%) and general anesthesia (23.2%) were applied to respective number of migrant patients. Increase in regional anesthesia rates was observed was increased with rapid increase in the number of patients by the years. Conclusion: Since easily applied regional anesthesia provides an effective anesthesia-analgesia, and superiority in Apgar scores we think that the number of patients undergoing emergency caesarean section who will undergo regional anesthesia will increase gradually.

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Section: İstatistiksel Analizunclassified

Our Experiences of Anesthesia in Emergency Cesareans

Karaca¹,

Özgünay²,

Ata³

et al. 2020

jarss

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“…Preoperative preparation includes in utero resuscitation of the foetus [ Table 4 ], administration of acid aspiration prophylaxis, preparing for a potential difficult airway, securing intravenous access (should have a 2 nd IV access ready), prepare for prevention of haemorrhage and invasive monitoring if required and if time permits, especially in category 1 caesarean sections. [ 9 ] All mothers coming for emergency caesarean sections are at high risk of aspiration, especially as recent guidelines advocate that mothers consume solids and liquids during normal labour. Oral sodium citrate, ranitidine and metoclopramide IV can be used as acid aspiration prophylaxis.…”

Section: Preoperative Preparationmentioning

confidence: 99%

Anaesthetic management of obstetric emergencies

Dongare

Nataraj

2018

Indian J Anaesth

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Obstetric emergencies are a challenge both for the obstetrician and the anaesthesiologist. The incidence of caesarean sections as per the National Family Health Survey published in 2015–16 was 17.2%. In 7.6% of cases, the decision to conduct a caesarean section was taken after the onset of labour pains. Caesarean sections are classified depending on the urgency into four categories. The target decision to delivery interval for category 1 caesarean section is less than 30 min. This is used as an audit tool for the efficiency of an obstetric service. The management of these emergencies involves a rapid assessment, with minimal investigations. Although general anaesthesia is considered to have higher morbidity and mortality, category 1 caesarean sections may still warrant this technique. Rapid sequence spinal anaesthesia is replacing general anaesthesia for many of the category 1 indications. In category 2 and 3 caesarean sections, spinal anaesthesia still remains the technique of choice. Failed intubation, failed neuraxial block, extensive neuraxial block, awareness under anaesthesia, thromboembolism, amniotic fluid embolism, haemorrhage and maternal collapse are some of the complications. Haemorrhage is said to be the leading cause of mortality worldwide.

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Peri-operative management of caesarean section for the occasional obstetric anaesthetist – an aide memoire

Cited by 2 publications

References 43 publications

Our Experiences of Anesthesia in Emergency Cesareans

Our Experiences of Anesthesia in Emergency Cesareans

Anaesthetic management of obstetric emergencies

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