Traditional rapid sequence induction is an outmoded technique for caesarean section and should be modified

Levy, David M.

doi:10.1016/j.ijoa.2006.04.008

Cited by 21 publications

(12 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Arguably, historical and contemporary evidence does not suggest that 'traditional' rapid sequence induction (thiopental, succinylcholine, cricoid pressure, intubation) is necessarily the safest approach to general anaesthesia for Caesarean section [31]. The most recent Report on Confidential Enquiries into Maternal Deaths in the United Kingdom [32] cited six deaths attributable to general anaesthesia, and featured the unwelcome reappearance of oesophageal intubation as a cause of mortality.…”

Section: General Anaesthesiamentioning

confidence: 99%

Emergency Caesarean section: best practice*

Levy

2006

Anaesthesia

View full text Add to dashboard Cite

Good multidisciplinary communication is crucial to the safe management of women requiring non-elective Caesarean section. Anaesthetists should participate actively in resuscitation of the fetus in utero; relief of aortocaval compression is paramount. Epidural top-up with levobupivacaine 0.5% is the anaesthetic of choice for women who have been receiving labour epidural analgesia. If epidural top-up fails to provide bilateral light touch anaesthesia from S5 -T5, a combined spinalepidural technique with small intrathecal dose of local anaesthetic is a useful approach. Preeclampsia is not a contra-indication to single-shot spinal anaesthesia, which is the technique of choice for most women presenting for Caesarean section without an epidural catheter in situ. Induction and maintenance doses of drugs for general anaesthesia should not be reduced in the belief that the baby will be harmed. Early postoperative observations are geared towards the detection of overt or covert haemorrhage.

show abstract

Section: General Anaesthesiamentioning

confidence: 99%

Emergency Caesarean section: best practice*

Levy

2006

Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Giving opioids during induction of anaesthesia should already be familiar to all trainees and so it could be less of an about-turn to make this change than to stop using thiopental. However, although trainees are familiar with the use of non-depolarising neuromuscular blocking drugs to facilitate intubation, a recommendation to switch from suxamethonium to rocuronium in the obstetric context is likely to be more controversial [30,31].…”

Section: Maternal Mortality: Moody Skiesmentioning

confidence: 99%

“…Is it still justifiable to continue to use a technique for obstetric general anaesthesia that is sixty years old, if there are (possibly better) alternatives [30]? If not, how should be we conducting general anaesthesia for caesarean section?…”

Section: Maternal Mortality: Moody Skiesmentioning

confidence: 99%

Unsettled weather and the end for thiopental? Obstetric general anaesthesia after the NAP5 and MBRRACE-UK reports

Lucas

Yentis

2015

Anaesthesia

View full text Add to dashboard Cite

“…Propofol is not preferred in obstetrics due to associated poorer neonatal profile, shorter duration of amnesia (potentially leading to awareness) and longer time to recovery of spontaneous ventilation. Other drugs that can be used in pregnancy are etomidate and ketamine 13,14 .…”

Section: Intravenous Induction Agentsmentioning

confidence: 99%