The GA Caesar Explained

airway management education emergency management intubation obstetrics anaesthesia Sep 25, 2023

Caesarean sections are usually performed using neuraxial anaesthesia. “Neuraxial” refers to spinal & epidural anaesthesia 💯

The benefits of neuraxial anaesthesia are:
👉🏻 Mum and partner can experience the birth
👉🏻 It provides excellent analgesia
👉🏻 It’s safer for mother and baby

In some situations, a general anaesthetic is necessary!

Reasons for a GA caesar include:
1️⃣ Super urgent deliveries (no time for spinal!) 🚨
2️⃣ Spinal will be dangerous (coagulopathy, infection etc) ⚠️
3️⃣ Mum doesn’t want a spinal 🙅‍♀️
4️⃣ Can’t get a spinal in ❌
5️⃣ Spinal is not working well or wearing off

There’s no need to panic with a GA caesar, but here are 5 things to remember to keep mother and baby safe:

“The 5 A’s of GA Caesar”
1️⃣ Airway can be tricky - have a video laryngoscope and bougie ready
2️⃣ Aspiration risk - rapid sequence induction with cricoid pressure
3️⃣ Awareness is more common - use depth of anaesthesia monitoring
4️⃣ Aortocaval compression - remember left lateral tilt!
5️⃣ Analgesia - consider TAP blocks and have plenty of opioids ready for after delivery!

Build knowledge ✅
Improve safety ✅

 

Ref: https://resources.wfsahq.org/atotw/anaesthesia-for-caesarean-delivery-best-practices/



 

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