Current practice in obstetric anaesthesia. Part II General anaesthesia for Caesarean Section


Authors: Bláha Jan 1,2;  Nosková Pavlína 1,2;  Klozová Radka 1,3;  Seidlová Dagmar 1,4;  Štourač Petr 1,5;  Pařízek Antonín 6
Authors‘ workplace: Expertní skupina porodnické anestezie a analgezie ČSARIM 1;  Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. LF UK v Praze a Všeobecná fakultní nemocnice v Praze 2;  Klinika anesteziologie a resuscitace, 2. LF UK v Praze a Fakultní nemocnice v Motole 3;  II. anesteziologicko-resuscitační oddělení Fakultní nemocnice Brno 4;  Klinika anesteziologie, resuscitace a intenzivní medicíny, LF Masarykovy univerzity a Fakultní nemocnice Brno 5;  Gynekologicko-porodnická klinika, 1. LF UK v Praze a Všeobecná fakultní nemocnice v Praze 6
Published in: Anest. intenziv. Med., 24, 2013, č. 3, s. 186-192
Category: Postgraduate education

Overview

General anaesthesia for Caesarean Section remains the method of choice in life-threatening situations for the mother or foetus. Although meta-analyses of studies comparing neuraxial and general anaesthesia did not find significant differences in maternal mortality or in the influence of different types of anaesthesia on the outcome of in-term born babies (discussed in more details in the previous article, Current Practice in Obstetric Anaesthesia I.), general anaesthesia for Caesarean Section should be always given with maximum caution. In this article we discuss general anaesthesia for Caesarean Section especially in terms of difficult intubation, risk of aspiration, induction and muscle relaxation.

Keywords:
Caesarean section – general anaesthesia – difficult intubation – aspiration – introduction to general anaesthesia – muscle relaxation


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