Induction opioids for caesarean section under general anaesthesia: a systematic review and meta-analysis of randomised controlled trials.

@article{White2019InductionOF,
  title={Induction opioids for caesarean section under general anaesthesia: a systematic review and meta-analysis of randomised controlled trials.},
  author={Leigh White and Anthony Hodsdon and Gye-Hyeong An and Christopher Thang and Thomas Melhuish and Ruan Vlok},
  journal={International journal of obstetric anesthesia},
  year={2019}
}
General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multicentre observational study *
TLDR
An analysis of data from the direct reporting of awareness in maternity patients’ (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best‐practice recommendations.
Comparison of Supraglottic Airway Devices With Endotracheal Intubation in Low-Risk Patients for Cesarean Delivery: Systematic Review and Meta-analysis.
TLDR
Despite the reasonable insertion success rate and safety profile of SGAs demonstrated in this meta-analysis, the analysis remains underpowered and therefore inconclusive.
Dexmedetomidine as an adjuvant for single spinal anesthesia in patients undergoing cesarean section: a system review and meta-analysis
TLDR
The use of intrathecal dexmedetomidine during cesarean section can shorten the onset time of spinal anesthesia and enhance the effect of local anesthetic.
Effects of dexmedetomidine versus remifentanil on mothers and neonates during cesarean section under general anesthesia.
TLDR
During general anesthesia for cesarean section, remifentanil demonstrated better control of hemodynamic stability, while dexmedetomidine demonstrated better neonatal Apgar scores, postoperative analgesia, and decreased catecholamine release.
Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study
TLDR
It is concluded that direct postoperative questioning reveals high rates of accidental awareness during general anaesthesia for obstetric surgery, which has implications for anaesthetic practice, consent and follow-up.
Neonatal and early childhood outcomes following maternal anesthesia for cesarean section: a population-based cohort study
TLDR
General anesthesia for cesarean section, irrespective of urgency, is associated with neonatal resuscitation, low Apgar, and neonatal unit admission and Associations were strongest in non-urgent cases and at term.
The role of total intravenous anaesthesia for caesarean delivery.
Perioperative management of emergent cesarean section in a patient with peripartum cardiomyopathy and orthopnea: a case report
TLDR
A patient with peripartum cardiomyopathy (PPCM) who required an emergent cesarean section is reported and ketamine or low-dose remifentanil may be an option to maintain maternal hemodynamics and prevent neonatal asphyxia.
Opioid Use in the Critically Ill Obstetric Patient
TLDR
The impact of maternally administered opioids on the fetus and neonate are discussed, both in the context of routine OB practice and in critical care.
General anesthesia in the parturient
TLDR
The recently published Obstetric Anaesthetists Association/Difficult Airway Society (OAA/DAS) difficult airway guidelines emphasize the need for good planning, preparation, and effective team communication before performing RSI to ensure a good outcome for the mother and the baby.
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Neonatal effect of remifentanil in general anaesthesia for caesarean section: a randomized trial
TLDR
At a dose of 1 μg/kg, remifentanil prior to induction of general anaesthesia increases the risk of neonatal respiratory depression during first minutes after caesarean delivery but duration of clinical symptoms is short.
Maternal and Neonatal Effects of Remifentanil at Induction of General Anesthesia for Cesarean Delivery: A Randomized, Double-blind, Controlled Trial
TLDR
A single bolus of 1 &mgr;g/kg remifentanil effectively attenuated hemodynamic changes after induction and tracheal intubation and thus should be used for clear maternal indications when adequate facilities for neonatal resuscitation are available.
Plasma catecholamines and neonatal condition after induction of anaesthesia with propofol or thiopentone at caesarean section.
TLDR
Propofol attenuated the hypertensive and catecholamine response associated with laryngoscopy and tracheal intubation but there was no improvement in neonatal outcome.
Comparison of different doses of Fentanyl for prevention of hemodynamic changes during induction and intubation in parturients undergoing caesarian section under general anesthesia.
TLDR
Fentanyl in doses as low as 0.5µg/kg can be used safely in parturients to prevent haemodynamic hazards at intubation in patients undergoing caesarean section under general anaesthesia.
EFFECT OF REMIFENTANIL ON BLOOD PRESSURE AND PULSE RATE OF MOTHERS AND APGAR SCORE OF NEONATES DURING GENERAL ANESTHESIA IN ELECTIVE CESAREAN SECTION
TLDR
In infusion of remifentanil effectively attenuated the hemodynamic changes after induction and tracheal intubation, so it should be used for clear maternal indications when adequate facilities for resuscitation of neonates are available.
The effect of low dose fentanyl as a premedication before induction of general anesthesia on the neonatal apgar score in cesarean section delivery: randomized, double-blind controlled trial
TLDR
Administration of 1μg/Kg intravenous Fentanyl before the induction of anesthesia for cesarean section delivery decreases maternal hemodynamic changes after intubation, and does not have any effect on Apgar scores of the neonate in the 1st and 5th minutes after birth.
Does intravenous fentanyl affect Apgar scores and umbilical vessel blood gas parameters in cesarean section under general anesthesia?
TLDR
The administration of 1 µg/Kg intravenous Fentanyl, three minutes before induction of anesthesia for cesarean section can lead to a stable hemodynamic situation in mother and showed no effects on neonate`s outcomes.
The effect of alfentanil on maternal haemodynamic changes due to tracheal intubation in elective caesarean sections under general anaesthesia
TLDR
Alfentanil use was associated with decreases or minimal increases in maternal systolic and diastolic blood pressures and heart rate after endotracheal intubation.
Remifentanil at induction of general anesthesia for cesarean section: Double blind, randomized clinical trial
TLDR
Remifentanil may be a safe and effective drug for the induction of general anesthesia and surgical stimulation without subsequent neonatal depression in women with singleton term pregnancies.
Effects of remifentanil and dexmedetomidine on the mother’s awareness and neonatal Apgar scores in caesarean section under general anaesthesia
  • K. Kart, A. Hanci
  • Medicine
    The Journal of international medical research
  • 2018
TLDR
It was observed that remifentanil controlled the haemodynamic responses to sympathetic stimuli in a better manner than dexmedetomidine.
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