#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Caesarean section – with what anaesthesia?


Authors: J. Bláha;  I. Kolníková;  P. Nosková
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivni mediciny, 1. LF UK a VFN v Praze
Published in: Prakt Gyn 2011; 15(3-4): 187-191
Category: Review Article

Overview

Although obstetricians have now fully accepted anaesthesiologists’ opinion to prefer neuroaxial techniques compared to general anaesthesia, the rational for this preference is not generally known and is often mistaken for historical myths. This review article aims to summarize recent scientific arguments on the preference for particular types of anaesthesia for both elective and acute caesarean section.

Key words:
sectio caesarea – choice of anaesthesia – general anaesthesia – neuroaxial anaesthesia


Sources

1. Hawkins JL, Koonin LM, Palmer SK et al. Anesthesia-related deaths during obstetric delivery in the United States, 1979–1990. Anesthesiology 1997; 86(2): 277–284.

2. Lyons G, Akerman N. Problems with general anaesthesia for Caesarean section. Minerva Anestesiol 2005; 71(1–2): 27–38.

3. Koonin LM, MacKay AP, Berg CJ et al. Pregnancy-related mortality surveillance – United States, 1987–1990. MMWR CDC Surveill Summ 1997; 46(4): 17–36.

4. Rahman K, Jenkins JG. Failed tracheal intubation in obstetrics: no more frequent but still managed badly. Anaesthesia 2005; 60(2): 168–171.

5. McDonnell NJ, Paech MJ, Clavisi OM et al. Difficult and failed intubation in obstetric anaesthesia: an observational study of airway management and complications associated with general anaesthesia for caesarean section. Int J Obstet Anesth 2008; 17(4): 292–297.

6. Barnardo PD, Jenkins JG. Failed tracheal intubation in obstetrics: a 6-year review in a UK region. Anaesthesia 2000; 55(7): 690–694.

7. Hawkins JL. Anesthesia-related maternal mortality. Clin Obstet Gynecol 2003; 46(3): 679–687.

8. Afolabi BB, Lesi FE, Merah NA. Regional versus general anaesthesia for caesarean section. Cochrane Database Syst Rev 2006; 4: CD004350.

9. Reynolds F, Seed PT. Anaesthesia for Caesarean section and neonatal acid-base status: a meta-analysis. Anaesthesia 2005; 60(7): 636–653.

10. Pařízek A et al. Porodnická anestezie a analgezie. Praha: Grada 2002.

11. Mallampati SR, Gatt SP, Gugino LD et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 1985; 32(4): 429–434.

12. Boutonnet M, Faitot V, Katz A et al. Mallampati class changes during pregnancy, labour, and after delivery: can these be predicted? Br J Anaesth 2010; 104(1): 67–70.

13. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol 1946; 52: 191–205.

14. McDonnell NJ, Paech MJ, Clavisi OM et al. Difficult and failed intubation in obstetric anaesthesia: an observational study of airway management and complications associated with general anaesthesia for caesarean section. Int J Obstet Anesth 2008; 17(4): 292–297.

15. Ezri T, Szmuk P, Stein A et al. Peripartum general anasthesia without tracheal intubation: incidence of aspiration pneumonia. Anaesthesia 2000; 55(5): 421–426.

16. Chestnut DH. Obstetric Anesthesia: Principles and Practice. 4th ed. Philadelphia: Mosby Elsevier 2009.

17. Wong CA, McCarthy RJ, Fitzgerald PC et al. Gastric emptying of water in obese pregnant women at term. Anesth Analg 2007; 105(3): 751–755.

18. Wong CA, Loffredi M, Ganchiff JN et al. Gastric emptying of water in term pregnancy. Anesthesiology 2002; 96(6): 1395–1400.

19. James CF, Gibbs CP. An evaluation of sodium citrate solutions. Anesth Analg 1983; 62(2): 241.

20. Dewan DM, Floyd HM, Thistlewood JM et al. Sodium citrate pretreatment in elective cesarean section patients. Anesth Analg 1985; 64(1): 34–37.

21. Kjaer K, Comerford M, Kondilis L et al. Oral sodium citrate increases nausea amongst elective Cesarean delivery patients. Can J Anaesth 2006; 53(8): 776–780.

22. Lin CJ, Huang CL, Hsu HW et al. Prophylaxis against acid aspiration in regional anesthesia for elective cesarean section: a comparison between oral single-dose ranitidine, famotidine and omeprazole assessed with fiberoptic gastric aspiration. Acta Anaesthesiol Sin 1996; 34(4): 179–184.

23. Paranjothy S, Griffiths JD, Broughton HK et al. Interventions at caesarean section for reducing the risk of aspiration pneumonitis. Cochrane Database Syst Rev 2010; 1: CD004943.

24. Brock-Utne JG, Dow TG, Welman S et al. The effect of metoclopramide on the lower oesophageal sphincter in late pregnancy. Anaesth Intensive Care 1978; 6(1): 26–29.

25. Cohen SE, Jasson J, Talafre ML et al. Does metoclopramide decrease the volume of gastric contents in patients undergoing cesarean section? Anesthesiology 1984; 61(5): 604–607.

26. Murphy DF, Nally B, Gardiner J et al. Effect of metoclopramide on gastric emptying before elective and emergency caesarean section. Br J Anaesth 1984; 56(10): 1113–1116.

27. Sigalas J, Galazios G, Tsikrikoni I et al. The influence of the mode of anaesthesia in the incidence of neonatal morbidity after an elective caesarean section. Clin Exp Obstet Gynecol 2006; 33(1): 10–12.

28. Pařízek A, Bláha J, Dolenská S et al. Aktuální vývoj porodnické analgézie v ČR. In: XVII národní kongres ČSARIM: 10. 9. 2010. Zlín 2010.

29. Popham P, Buettner A, Mendola M. Anaesthesia for emergency caesarean section, 2000–2004, at the Royal Women’s Hospital, Melbourne. Anaesth Intensive Care 2007; 35(1): 74–79.

30. Kinsella SM, Girgirah K, Scrutton MJ. Rapid sequence spinal anaesthesia for category-1 urgency caesarean section: a case series. Anaesthesia 2010; 65(7): 664–669.

31. Bucklin BA, Hawkins JL, Anderson JR et al. Obstetric anesthesia workforce survey: twenty-year update. Anesthesiology 2005; 103(3): 645–653.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#