Show Summary Details
Page of

Neuraxial anaesthesia for caesarean delivery 

Neuraxial anaesthesia for caesarean delivery
Neuraxial anaesthesia for caesarean delivery

Sarah L. Armstrong

, Michelle Walters

, Katherine Cheesman

, and Geraldine O’Sullivan

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 24 October 2020

Neuraxial anaesthesia is the safest and preferred method of anaesthesia for both elective and emergency caesarean delivery. It has significant advantages over general anaesthesia including the avoidance of failed intubation and ventilation, awareness, and aspiration of pulmonary contents. It also allows the partner to be present at delivery and facilitates maternal–newborn bonding. This chapter examines the indications and contraindications to neuraxial blockade for caesarean delivery and discusses preoperative assessment and consent for these patients. Neuraxial techniques for caesarean delivery include single-shot spinal, combined spinal–epidural, epidural anaesthesia, and continuous spinal anaesthesia. These techniques are described and critically evaluated. The choice of local anaesthetic drugs and adjuvants is also discussed along with a troubleshooting section for dealing with unexpected complications of neuraxial blockade for caesarean delivery.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.