Friday, September 18, 2009

General anaesthesia for Caesarean section


General anaesthesia for Caesarean section is still decreasing in incidence.
General anaesthesia may be indicated due to urgency, maternal refusal of regional techniques, inadequate regional block, or regional contraindications.
Obstetric indications, which were once considered absolute indications for general anaesthesia, such as placenta praevia, are now being routinely performed under regional anaesthesia.
Major complications include failed intubation, aspiration of gastric contents, increased blood loss, and awareness.
Difficulty in intubation is encountered 10 times more often than in the non-obstetric population.

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