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Neuraxial anaesthesia for caesarean delivery 

Neuraxial anaesthesia for caesarean delivery
Chapter:
Neuraxial anaesthesia for caesarean delivery
Author(s):

Sarah L. Armstrong

, Michelle Walters

, Katherine Cheesman

, and Geraldine O’Sullivan

DOI:
10.1093/med/9780198713333.003.0020
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date: 16 February 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.

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