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General anaesthesia during caesarean sections: implications for the mother, foetus, anaesthetist and obstetrician.
Curr Opin Obstet Gynecol. 2019 12; 31(6):393-402.CO

Abstract

PURPOSE OF REVIEW

A general anaesthetic is usually given for an emergency caesarean section (Category 1), where there is imminent threat to the mother or foetus. There are many risks in performing a general anaesthetic. The aim of this review is to highlight the effects and risks to the mother and foetus of each step of a general anaesthetic.

RECENT FINDINGS

Anaesthetic techniques are changing, and the traditional mantra of using a general anaesthetic for an emergency caesarean sections is being challenged. There are also multiple potential risks of a general anaesthetic that are being better defined. This ranges from awareness during surgery, through to foetal and maternal risks of complications.

SUMMARY

This review will outline the different stages of a general anaesthetic and highlight the risks. This summary will allow a better understanding of anaesthetic risks. This will allow obstetricians to have a more informed conversation with an anaesthetist as to form of anaesthetic required (general anaesthetic versus spinal or epidural top-up). The review will also allow obstetricians to give more informed consent to mothers and be aware of the postoperative risks.

Authors+Show Affiliations

Kings College Hospital, London, United Kingdom.Queen's Hospital, Romford, United Kingdom.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31634161

Citation

Ratnayake, Gamunu, and Vinod Patil. "General Anaesthesia During Caesarean Sections: Implications for the Mother, Foetus, Anaesthetist and Obstetrician." Current Opinion in Obstetrics & Gynecology, vol. 31, no. 6, 2019, pp. 393-402.
Ratnayake G, Patil V. General anaesthesia during caesarean sections: implications for the mother, foetus, anaesthetist and obstetrician. Curr Opin Obstet Gynecol. 2019;31(6):393-402.
Ratnayake, G., & Patil, V. (2019). General anaesthesia during caesarean sections: implications for the mother, foetus, anaesthetist and obstetrician. Current Opinion in Obstetrics & Gynecology, 31(6), 393-402. https://doi.org/10.1097/GCO.0000000000000575
Ratnayake G, Patil V. General Anaesthesia During Caesarean Sections: Implications for the Mother, Foetus, Anaesthetist and Obstetrician. Curr Opin Obstet Gynecol. 2019;31(6):393-402. PubMed PMID: 31634161.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - General anaesthesia during caesarean sections: implications for the mother, foetus, anaesthetist and obstetrician. AU - Ratnayake,Gamunu, AU - Patil,Vinod, PY - 2019/10/22/pubmed PY - 2020/10/21/medline PY - 2019/10/22/entrez SP - 393 EP - 402 JF - Current opinion in obstetrics & gynecology JO - Curr Opin Obstet Gynecol VL - 31 IS - 6 N2 - PURPOSE OF REVIEW: A general anaesthetic is usually given for an emergency caesarean section (Category 1), where there is imminent threat to the mother or foetus. There are many risks in performing a general anaesthetic. The aim of this review is to highlight the effects and risks to the mother and foetus of each step of a general anaesthetic. RECENT FINDINGS: Anaesthetic techniques are changing, and the traditional mantra of using a general anaesthetic for an emergency caesarean sections is being challenged. There are also multiple potential risks of a general anaesthetic that are being better defined. This ranges from awareness during surgery, through to foetal and maternal risks of complications. SUMMARY: This review will outline the different stages of a general anaesthetic and highlight the risks. This summary will allow a better understanding of anaesthetic risks. This will allow obstetricians to have a more informed conversation with an anaesthetist as to form of anaesthetic required (general anaesthetic versus spinal or epidural top-up). The review will also allow obstetricians to give more informed consent to mothers and be aware of the postoperative risks. SN - 1473-656X UR - https://www.unboundmedicine.com/medline/citation/31634161/General_anaesthesia_during_caesarean_sections:_implications_for_the_mother_foetus_anaesthetist_and_obstetrician_ L2 - https://doi.org/10.1097/GCO.0000000000000575 DB - PRIME DP - Unbound Medicine ER -