Learning Zone: General anaesthesia for caesarean delivery. Dr Ben Jones

Topic of the month Date
General anaesthesia for caesarean delivery
January 2022
Relevant recent publications
General anaesthesia in obstetrics BJA Education, 20(6): 201e207 (2020)

Induction opioids for caesarean section under general anaesthesia: a systematic review and meta-analysis of randomised controlled trials IJOA (2019) 40, 4-13

Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study Anaesthesia 2021; 76: 759-776

General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multicentre observational study Anaesthesia 2021, 76, 460–471

Incidence and risk factors for maternal hypoxaemia during induction of general anaesthesia for non-elective Caesarean section: a prospective multicentre study BJA, 125 (1): e81ee87 (2020)

The effect of COVID-19 on general anaesthesia rates for caesarean section. A cross-sectional analysis of six hospitals in the north-west of England Anaesthesia 2021, 76, 312-391

Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations. Anaesthesia 2020, 75, 945–961

High-flow nasal oxygen for pre-oxygenation in obstetrics. Anaesthesia 2020, 75, 1261-1261

Failed tracheal intubation during obstetric general anaesthesia: a literature review IJOA (2015) 24, 356-374

OAA webcast (in last 4 years) General anaesthesia for caesarean section - getting it right. Chair: M McGuire. OAA ASM June 2021 (password: contact the Secretariat)

General anaesthesia – airway management. D. Hughes. Obstetric Anaesthesia Update Webinar. 3rd October 2020 (password: contact the Secretariat)

Rapid debate: Rocuronium should be the drug of choice for RSI in obstetrics. P. Ward vs P Odor. OAA Cases and clinical challenges. March 2020. (password: contact the Secretariat)

The category 1 CS. R. Russell. 3d course. November 2019. (password: contact the Secretariat)

High flow nasal oxygen in parturients. R. Preston. 3d course. November 2019. (password: contact the Secretariat)

General anaesthesia – key issues. S. Griffiths. Obstetric Anaesthesia Update October 2019. (password: contact the Secretariat)

Is rapid sequence induction still contraindicated in suspected difficult intubation for level 1 CS? Y.Ginosar. 3d course. November 2018. (password: contact the Secretariat)
    OAA posters (in last 4 years) 2021
    Airway Assessment on the Labour ward J Sturrock, J Robertson, N Alexander
    Reasons for providing general anaesthesia for elective caesarean section. A. McCallum

    TIVA for caesarean section M. Clayton, R. May, A. Richardson, N. Lucas

    Difficult and failed intubation following general anaesthesia for caesarean section: incidence, management, maternal and neonatal outcomes. A. John, T. Hull, J. Eccles, K. Bhatia
    Utility of THRIVE for preoxygenation in obstetric anaesthesia M. Mittal, S. Bell, M. Doraiswami
      MBRRACE-UK Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013–1
        National guidelines DAS Obstetric Airway Guidelines 2015
        NAP5 – AAGA in obstetric anaesthesia - Chapter 16 (including recommendations 16.1-16.5)
        RCoA - Guidelines for the Provision of Anaesthesia Services for an Obstetric Population 2020
        Clinical guidelines Some example guidelines
        Antacid prophylactic guidelines – St Mary’s hospital
        GA for caesarean section – Aberdeen Hospital
        Audit / Qu suggestions
        7Obstetric practice
        Raising the Standards: RCoA Quality Improvement Compendium
        7.5 Airway and intubation problems during obstetric general anaesthesia

        DAS recommended equipment https://www.oaa-anaes.ac.uk/assets/_managed/cms/files/Clinical%20Guidelines/Difficult_Airway_Equipment.docx

          FRCA questions Final FRCA Written Obstetric Past Questions
          Reasons for accidental awareness under caesarean section and conduct of general anaesthesia for LSCS (March 20)
          General anaesthesia for non-obstetric surgery (March 19, March 16, September 14)

          Simulation suggestion
          Failed intubation in parturient for category 1 CS simulation

          Information for expectant
          parents and midwives’

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