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STAT Caesarean Delivery: Preparation, Planning, and Team Performance 

STAT Caesarean Delivery: Preparation, Planning, and Team Performance
Chapter:
STAT Caesarean Delivery: Preparation, Planning, and Team Performance
Author(s):

Michael G. Richardson

DOI:
10.1093/med/9780190226459.003.0043
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date: 06 July 2020

During emergency cesarean delivery (CD), indicated by immediate threat to fetal or maternal life, the anesthesiologist must quickly provide anesthesia that is rapid in onset and safe for both patients. Neuraxial anesthesia using well-functioning in-dwelling epidural catheters is achievable with early enough notification. Still, general anesthesia is often the most expedient method. Advanced airway devices and evolving difficult airway management algorithms have likely contributed to observed reductions maternal morbidity and mortality associated with general anesthesia. Long before the crisis arises, other measures can mitigate against risk, including early assessment and identification of at-risk patients, establishment of effective neuraxial labor analgesia in high-risk patients, and effective teamwork and communication. Establishing interprofessional labor and delivery unit goals and strategies, conducting team debrief sessions after each STAT CD, and identifying obstacles and generating case-specific strategies to overcome them constitute a resource-effective way to substantially reduce decision-to-delivery intervals and improve neonatal outcomes.

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