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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2018
Practice Guideline[A Process-Oriented Approach at Current Recommendations for Obstetric Anesthesia and Postoperative Monitoring After C-Section].
- Philipp Gude and Thomas Weber.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2018 Oct 1; 53 (10): 696-702.
AbstractThe known guidelines before a planned operation on aspiration, fasting and preoperative risk evaluation also apply in obstetrics. Extended measures are only justified under concrete anamnestic or specific symptoms. Neuraxial anesthesia techniques should be offered to the mother as early as possible, as waiting for a certain opening of the cervix is not justified. Catheter procedures offer numerous advantages and are useful for possible emergency situations. Low-dose local anesthetic concentrations in combination with an opioid are still recommended. The benefit of pencil-point spinal needles in minimizing the risk of post-puncture headache has been demonstrated. Predictable emergencies are airway emergencies, hemorrhagic emergencies and cardiopulmonary resuscitation with emergency cesarean if appropriate (> 20 SSW).Georg Thieme Verlag KG Stuttgart · New York.
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