General anesthesia for caesarean section

@article{Devroe2015GeneralAF,
  title={General anesthesia for caesarean section},
  author={Sarah Devroe and M Van de Velde and Steffen Rex},
  journal={Current Opinion in Anaesthesiology},
  year={2015},
  volume={28},
  pages={240–246}
}
Purpose of review For most anaesthesiologists, the clinical experience with general anaesthesia for caesarean section is very low. General anaesthesia is mostly performed for emergency grade 1 caesarean section and due to a lack of time to apply a neuraxial anaesthesia technique. Unfortunately, the majority of anaesthesiologists rely on historical and partly outdated approaches in this stressful situation. We propose an evidence-based approach to general anaesthesia for caesarean section… 
General Anaesthesia for Caesarean Section
TLDR
Improving the initial teaching and skill retention is particularly important given the low number of general anaesthesia for caesarean section an anesthesiologist has to give in the actual context.
Management of anaesthesia for elective, low-risk (Category 4) caesarean section
TLDR
An increasing number of caesarean sections are being performed for both elective as well as emergency cases, and the anaesthetic management should include adequate postoperative pain relief, early ambulation, and thromboprophylaxis to ensure early recovery.
Rethinking general anesthesia for cesarean section
TLDR
The rate of persistent wound pain is higher when only general anesthesia was used during cesarean section than with regional anesthesia, and thus it is necessary to provide a sufficient postoperative analgesia using multimodal analgesia, including intravenous patient-controlled analgesia (IV-PCA), transversus abdominis plane (TAP) block, non-steroidal inflammatory drugs, and acetaminophen.
Nonobstetric anesthesia during pregnancy
TLDR
The current guidelines developed under the auspices of the Society of American Gastrointestinal Endoscopic Surgeons, guidelines for the management of difficult and failed tracheal intubation in obstetrics, as well as guidelines forThe management of a pregnant trauma patient are reviewed.
General or non-general anesthesia: That is the question
TLDR
Epidural anesthesia ensures better control of sensory level as compared to spinal anesthesia and provides better postoperative analgesia, however, it is easier and faster to perform spinal anesthesia.
General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided.
TLDR
This finding reinforces existing literature showing that general anesthesia is associated with worse postoperative pain, delayed mobilization, impaired breastfeeding success, neonatal respiratory depression, and poorer Apgar scores, and it is best to avoid general anesthesia with a well-conducted neuraxial anesthetic.
Prevalence Rate of Spinal and General Anesthesia in Cesarean Sections
TLDR
To see the future development of new medications and newer techniques with a greater understanding and further research, obstetric anesthetists’ would play an even greater role to optimize the care of the parturient during caesarean delivery.
Effect of Ondansetron on Blood Pressure during Elective Cesarean Section under Spinal Anesthesia at Baghdad Teaching Hospital
TLDR
The preoperative administration of Ondansetron in cesarean section reduces the risk of spinal anesthesia-induced hypotension, prevents the nausea and vomiting attacks and decreases the need to vasopressors and metoclopramide.
...
...

References

SHOWING 1-10 OF 54 REFERENCES
Choice of anaesthetic agents for caesarean section: a UK survey of current practice.
Comparison of propofol and thiopentone for induction of anaesthesia for elective Caesarean section
TLDR
Propofol appears to be a suitable alternative to thiopentone as an induction agent for anaesthesia in elective Caesarean section in healthy women with cephalopelvic disproportion.
Obstetric anaesthesia and peripartum management.
Life-saving or ineffective? An observational study of the use of cricoid pressure and maternal outcome in an African setting.
The use of ProSeal Laryngeal Mask Airway in Caesarean Section - Experience in 3000 Cases
TLDR
The experience of the use of the ProSealTM laryngeal mask in 3000 elective caesarean sections in a single centre is reported, using a method of insertion that allows a rapid establishment of a patent airway together with gastric drainage.
Survey on the adequacy of depth of anaesthesia with bispectral index and isolated forearm technique in elective Caesarean section under general anaesthesia with sevoflurane.
TLDR
Lower than previously recommended values are needed to avoid IFT test responses during laryngoscopy, intubation, and skin incision to evaluate the adequacy of general anaesthesia in C/S and determine a suitable cut-off point for BIS values based on IFT results.
[Modified rapid sequence induction for Caesarian sections : case series on the use of rocuronium and sugammadex].
TLDR
The combination of rocuronium and sugammadex for RSI combines rapid onset and rapid reversal of neuromuscular blockades with avoidance of serious side effects and very comfortable conditions for intubation in all cases.
...
...