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Perspective

Can general anesthesia for cesarean delivery be completely avoided? An anesthetic perspective

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Pages 517-524 | Published online: 10 Jan 2014
 

Abstract

The dramatic increase in the rate of cesarean deliveries worldwide has focused attention on the uncommon but present risk of maternal mortality associated with anesthesia. The relative risk of maternal death is greater with general versus neuraxial (i.e., spinal, epidural, combined spinal–epidural and dural puncture epidural) techniques. As a consequence, neuraxial techniques are the preferred option. Failures in intubation, ventilation and extubation, as well as depression of postdelivery ventilation, represent risks of general anesthesia. Although these risks, and the use of general anesthesia, cannot be eliminated, various strategies can be employed to minimize these outcomes.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

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