A 20‐minute decision‐delivery interval at emergency caesarean section using general anaesthesia: a clinically‐relevant target

Anaesthesia ◽  
2021 ◽  
Author(s):  
S. M. Kinsella
Keyword(s):  
Caesarean Section ◽  
General Anaesthesia ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

scholarly journals Vecuronium-Thiopentone Induction for Emergency Caesarean Section under General Anaesthesia

1993 ◽  
Vol 21 (3) ◽  
pp. 288-291 ◽  
Author(s):  
B. M. Teviotdale
Keyword(s):  
Caesarean Section ◽  
General Anaesthesia ◽  
Placental Transfer ◽  
Clinical Signs ◽  
Emergency Caesarean Section ◽  
Detectable Effect ◽  
Clinical Effects ◽  
Acid Aspiration ◽  
Emergency Caesarean ◽  
Intubating Conditions

Induction of general anaesthesia for emergency caesarean section has always been hazardous. Acid aspiration syndrome1 and adverse reactions to suxamethonium1- are well recognised problems, in spite of which “crash” induction using thiopentone and suxamethonium remains a common induction technique.4 Recent case reports-1 suggest that the use of medium duration nondepolarising relaxants in place of suxamethonium achieves satisfactory intubating conditions in the emergency caesarean section patient. This study was undertaken to investigate the following aspects of rapid-sequence vecuronium-thiopentone induction for emergency caesarean section. 1. To establish whether 8 mg of vecuronium provides effective intubating conditions. 2. To establish whether placental transfer of vecuronium used in the above dosage has any clinically detectable effect upon the newborn. 3. To establish the limit of lead time by which vecuronium may precede thiopentone to minimise the dangerous period between loss of consciousness and intubation. 4. To detect instances of acid regurgitation or aspiration. 5. To confirm that relaxant reversal is clinically effective at the completion of surgery. In this series of thirty cases, vecuronium 8 mg preceding thiopentone 250 mg and atropine 0.6 mg by 20 seconds provided effective induction and easy intubating conditions without clinical effects on the newborn, maternal acid aspiration, or clinical signs of persistent paralysis after reversal.

scholarly journals Anaesthetic management of emergency caesarean section in a patient with peripartum cardiomyopathy under general anaesthesia - a case report

2016 ◽  
Vol 3 (1) ◽  
pp. 32-34
Author(s):  
Dipti Raj ◽  
Kumari Priti ◽  
Hasina Quari
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
General Anaesthesia ◽  
Postpartum Period ◽  
Myocardial Contractility ◽  
Regional Anaesthesia ◽  
Anaesthetic Management ◽  
Peripartum Cardiomyopathy ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Peripartum cardiomyopathy is a unique and rare kind of cardiomyopathy of unknown cause that occurs during pregnancy or the postpartum period. Regional anaesthesia for anaesthetic management of this condition has been extensively described. There are limited reports of anaesthetic management of caesarean section of this case under general anaesthesia. We report a case of 32 years old lady diagnosed to have peripartum cardiomyopathy requiring emergency caesarean section that was successfully managed under general anaesthesia. Anaesthetic management was directed towards optimization of myocardial contractility, preload and after load.

scholarly journals Spinal Anaesthesia Failure among Women Undergoing Caesarean Section in Kirtipur Hospital

2015 ◽  
Vol 10 (1) ◽  
pp. 36-38
Author(s):  
PK Rajbhandari ◽  
P Pradhan ◽  
G Dangal
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
General Anaesthesia ◽  
Failure Rate ◽  
Spinal Anaesthesia ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
Acceptable Range

Aims: This study was done to find out the spinal anaesthesia failure rate necessitating the conversion to general anaesthesia and use of intraoperative supplemental analgesia. Methods: This was a retrospective study undertaken in Kirtipur hospital in 660 patients. Spinal anaesthesia (0.5% heavy bupivacaine 2.2 ml) was given to women who had undergone elective or emergency caesarean section from January 2009 to December 2013. Results: In this study spinal anaesthesia failure rate was 1.66% (n=11/660). Among them complete failed spinal anaesthesia rate was 0.75% (n=5/660) requiring conversion to general anaesthesia. Intraoperative supplemental analgesic and sedation like pethidine, ketamine or midazolam was required in 0.90% (n=6/660). Conclusions: The failure rate of spinal anaesthesia given for caesarean section was low (1.66%) and it was within the acceptable range.

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