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Anaesthesia for caesarean section: regional anaesthesia 

Anaesthesia for caesarean section: regional anaesthesia
Anaesthesia for caesarean section: regional anaesthesia

Sarah Harries

, Martin Garry

, and Vinay Ratnalikar

Page of

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date: 31 July 2021

Sarah Harries, Martin Garry and Vinay Ratnalikar

Introduction 282

Preparation for theatre 284

Assessment of the block 286

Epidural anaesthesia 290

Spinal anaesthesia 296

Combined spinal–epidural (CSE) 304

Common complications 308

Regional anaesthesia is the technique of choice for caesarean delivery in the developed world, provided no contraindications exist. The relationship between the increased use of regional anaesthetic techniques for caesarean delivery and decreased maternal mortality is well recognized, with epidemiological studies indicating regional anaesthesia to be 16 times safer than GA. The three commonly practised techniques—epidural, spinal and combined spinal–epidural (CSE)—all offer significant advantages for both the mother and neonate....

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