Anest. intenziv. Med. 2014;25(2):123-134

Current practice in obstetric anaesthesia IV. - Anaesthesia complications in caesarean sectionPostgraduate Education - Expert group of obstetric anaesthesia and analgesia

Štourač Petr^1,2,*, Bláha Jan^1,3, Nosková Pavlína^1,3, Klozová Radka^1,4, Seidlová Dagmar^1,5

¹ Expertní skupina pro porodnickou anestezii a analgezii při ČSARIM

² Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta Masarykovy univerzitya Fakultní nemocnice Brno

³ Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy v Prazea Všeobecná fakultní nemocnice v Praze

⁴ Klinika anesteziologie a resuscitace, 2. lékařská fakulta Univerzity Karlovy v Praze a Fakultní nemocnice v Motole

⁵ II. anesteziologicko-resuscitační oddělení, Fakultní nemocnice Brno

The objective of this communication is to show the existence of complications in caesarean section specifically associated with the application and maintenance of anaesthesia. Despite the obvious benefits of neuroaxial forms of anaesthesia for caesarean section general anaesthesia still has its place in the delivery room and is associated with risk of difficult airways management. For epidural anaesthesia total spinal anaesthesia remains the most feared complication. Spinal anaesthesia is associated with mother hypotension and the hypoperfusion of fetoplacental unit. Most of the expected complications of anaesthesia in caesarean section are effectively preventable. The good clinical outcome both for mother and newborn depends on right decision and adequacy of therapy.

Keywords: caesarean section; obstetric anaesthesia; complication of anaesthesia

Published: April 1, 2014  Show citation