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obstetric anesthesia

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By Jigar Desai Private practicing anesthesiologist with special interest in supraglottic Airway devices
S M Kinsella, K Girgirah, M J L Scrutton
General anaesthesia is the fastest method for anaesthetising a category-1 caesarean section but is associated with increased maternal morbidity and mortality. We describe the 'rapid sequence spinal' to minimise anaesthetic time. This consists of a no-touch spinal technique, consideration of omission of the spinal opioid, limiting spinal attempts, allowing the start of surgery before full establishment of the spinal block, and being prepared for conversion to general anaesthesia if there are delays or problems...
July 2010: Anaesthesia
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