Anest. intenziv. Med. 2025;36(5):371-376 | DOI: 10.36290/aim.2025.062

A year 2025 in review - Anaesthesiology in obstetricsReview Article

Štourač P.1-3, Bláha J.3, Harazim H.1, 2, Mannová J.4, Nosková P.5, Kosinová M.1, 2, Pešková K.3, Seidlová D.3
1 Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity
2 Ústav simulační medicíny, Lékařská fakulta Masarykovy univerzity
3 II. anesteziologicko­‑resuscitační oddělení, Fakultní nemocnice Brno
4 Anestezologicko­‑resuscitační oddělení, Nemocnice Havlíčkův Brod
5 Klinika anesteziologie, resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice v Praze, 1. lékařská fakulta Univerzity Karlovy

The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes new challenges in the field of obstetric anesthesia, including the use of AI and simulations in this area. It also presents new developments in systemic and neuroaxial obstetric analgesia, caesarean section anaesthesia, and emergencies in the peripartum period.

Keywords: obstetric anaesthesia, obstetric analgesia, caesarean section anaesthesia, emergency in pregnancy.

Received: December 9, 2025; Accepted: December 9, 2025; Published: December 22, 2025  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Štourač P, Bláha J, Harazim H, Mannová J, Nosková P, Kosinová M, et al.. A year 2025 in review - Anaesthesiology in obstetrics. Anest. intenziv. Med. 2025;36(5):371-376. doi: 10.36290/aim.2025.062.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Purchase PDF - 40 CZK (1.7 EUR)
    will be unlocked 22.12.2026

    References

    1. Hurley C, Kearsley R. Artificial intelligence in obstetric anaesthesia: an unlikely player? Anaesthesia. 2024 Jul;79(7):780-781. doi: 10.1111/anae.16295. Epub 2024 Apr 12. PMID: 38606795. Go to original source... Go to PubMed...
    2. Zhang Z, Duan Y, Lin J, Luo W, Lin L, Gao Z. Artificial intelligence in anesthesia: insights from the 2024 Nobel Prize in Physics. Anesthesiol. Perioper. Sci. 2025;3:5. doi: https://doi.org/10.1007/s44254-025-00086-6. Go to original source...
    3. Liu K, Qiu W, Yang X. Exploring the growth and impact of artificial intelligence in anesthesiology: a bibliometric study from 2004 to 2024. Front Med (Lausanne). 2025 Jun 2;12:1595060. doi: 10.3389/fmed.2025.1595060. PMID: 40529130; PMCID: PMC12171226. Go to original source... Go to PubMed...
    4. He F, Chen D. Expert review: current applications and future directions of artificial intelligence in obstetrics. Gynecology and Obstetrics Clinical Medicine. 2025;5:e000321. doi: https://doi.org/10.1136/gocm-2025-000321. Go to original source...
    5. Duffy CC, Kearsley R. Simulation-based training in obstetric anaesthesia. BJA Educ. 2024 Dec;24(12):468-475. doi: 10.1016/j.bjae.2024.08.002. Go to original source... Go to PubMed...
    6. Abrams J, Mahoney B. The importance of simulation-based multi professional training in obstetric anesthesia: an update. Curr Opin Anaesthesiol. 2024 Jun 1;37(3):239-244. doi: 10.1097/ACO.0000000000001352. Go to original source... Go to PubMed...
    7. Ashokka B, Law LS, Areti A, Burckett-St Laurent D, Zuercher RO, Chin KJ, et al. Educational outcomes of simulation-based training in regional anaesthesia: a scoping review. Br J Anaesth. 2025 Feb;134(2):523-534. doi: 10.1016/j.bja.2024.07.037. Go to original source... Go to PubMed...
    8. Soria CS, Yao P. Anesthesiology Simulation: A Complete Education Guide for Instructors and Trainees. 2024. Springer Cham. doi: https://doi.org/10.1007/978-3-031-80228-7 Go to original source...
    9. Torgeirsen K, Kamala B, Mduma E, Kalabamu FS, Moshiro R, Østergaard D, et al. Frequency of team simulation and reduction in maternal deaths following Safer Births Bundle of Care implementation-a prospective observational study. Adv Simul (Lond). 2025 Nov 14;10(1):56. doi: 10.1186/s41077-025-00387-7. Go to original source... Go to PubMed...
    10. Stopar Pintaric T, Vehar L, Sia AT, Mirkovic T, Lucovnik M. Remifentanil Patient-Controlled Analgesia for Labor Analgesia at Different Cervical Dilations: A Single Center Retrospective Analysis of 1045 Cases. Medicina. 2025;61:675. doi: 10.3390/medicina61040675. Go to original source... Go to PubMed...
    11. Sobot Novakovic S, Cuk S, Rakanovic D, Loncar Stojiljkovic D, Cancarevic Djajic B, Gajic M. Neonatal Outcomes in Labor After Intravenous Remifentanil Analgesia vs. Epidural Analgesia: A Retrospective Observational Study. Cureus. 2024;16(3):e56327. doi: 10.7759/cureus.56327. Go to original source... Go to PubMed...
    12. Jorbijarkali FS, Ghanbari-Homaie S, Mirghafourvand M, Rezaei M, Malakouti J. Association of remifentanil analgesia with postpartum depression and birth experience: an observational study. BMC Pregn Childbirth. 2025;25:583. doi: 10.1186/s12884-025-07704-y. Go to original source... Go to PubMed...
    13. Michalska A, Blazuk-Fortak A, Gladys-Jakubczyk A, Wolder D, Swiercz G. The Impact of Transcutaneous Electrical Nerve Stimulation (TENS) on the Consecutive Stages of Labour and Perinatal Outcomes - A Retrospective Cohort Study. J Clin Med. 2025;14:3445. doi: 10.3390/jcm14103445. Go to original source... Go to PubMed...
    14. Salih T, Elgie L, Acheampong Y, Moonesinghe SR. Entonox® use for labour analgesia in the context of environmental impact and occupational exposure: a national survey of UK midwives. Br J Anaesth. 2024;133(6):1435-1438. doi: 10.1016/j.bja.2024.07.021. Go to original source... Go to PubMed...
    15. Bu W, Wu W, Cheng J. Effect of Epidural Labor Analgesia on Gastric Emptying During Labor. Eur J Obstet Gynecol Reprod Biol. 2025;308:169-173. Go to original source... Go to PubMed...
    16. Brogly N, Gómez IV, Afshari A, Ekelund K, Kranke P, Weiniger CF, et al. ESAIC Focused Guidelines for the Management of the Failing Epidural During Labour Epidural Analgesia. Eur J of Anaesthesiol 2025; 42:96-112. Go to original source... Go to PubMed...
    17. Griffiths SH, Russell R, Broom MA, Devroe S, Van de Velde M, Lucas DN. Intrathecal Catheter Placement After Inadvertent Dural Puncture in the Obstetric Population. Guidelines from the Obstetric Anaesthetists´Association. Anaesthesia 2024;79(12):1348-1368. Go to original source... Go to PubMed...
    18. Singh PB, Monks DT, Bhat AD, Borle A, Kaur M, Yang P, et al. Epidural Analgesia versus Dural Puncture Epidural Analgesia in Labouring Parturients: Meta-analysis of Randomised Controlled Trials. Br J Anaesth. 2025;134(5):1402-1414. Go to original source... Go to PubMed...
    19. Lucas DN, Kursumovic E, Cook TM, Kane AD, Armstrong RA, Plaat F, et al. Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia. 2024;79,514-523. doi:10.1111/anae.16204. Go to original source... Go to PubMed...
    20. Sanganee UM, Jansen KM, Lucas N, Van de Velde M. The role of supraglottic airway devices for caesarean section under general anaesthesia. A scoping literature review with a proposed algorithm for the appropriate use of supraglottic airway devices for caesarean sections. Eur J Anaesthesiol. 2024;41:668-676. doi: 10.1097/EJA.0000000000002024. Go to original source... Go to PubMed...
    21. Lawson J, Howle R, Popivanov P, Sidhu J, Gordon C, Leong M, et al. Gastric emptying in pregnancy and its clinical implications: a narrative review. Br J Anaesth. 2025;134(1):124e167. doi: 10.1016/j.bja.2024.09.005. Go to original source... Go to PubMed...
    22. Guglielminotti J, Monk C, Russell MT, Li G. Association of General Anesthesia for Cesarean Delivery with Postpartum Depression and Suicidality. Anesth Analg. 2025;141(3):618-628. doi: 10.1213/ANE.0000000000007314. Go to original source... Go to PubMed...
    23. Charles EA, Carter H, Stanford S, Blake L, Eley V, Carvalho B, et al. Intraoperative Pain during Cesarean Delivery under Neuraxial Anesthesia: A Systematic Review and Meta-analysis. Anesthesiology. 2025;143(1):156-167. Go to original source... Go to PubMed...
    24. Roofthooft E, Lippens N, Rex S, Devroe S, Moerman A, Filetici N, et al. Breakthrough pain during cesarean section under neuraxial anesthesia: a two-center prospective audit. Acta Anaesth Bel. 2022;73(1):23-29. Go to original source...
    25. Sanchez J, Prabhu R, Guglielminotti J, Landau R. Pain during cesarean delivery: A patient-related prospective observational study assessing the incidence and risk factors for intraoperative pain and intravenous medication administration. Anaesth Crit Care Pain Med. 2024;43(1):101310. Go to original source... Go to PubMed...
    26. Callihan P, Cottrell Bekemeyer ZJ, Pedreira R, Michel G, Sukhdeo H, O'Carroll J, et al. Intraoperative pain during cesarean delivery: a qualitative concept elicitation study. Int J Obstet Anesth. 2025;64:104748. Go to original source... Go to PubMed...
    27. Sharpe EE, Landau R. Pain during cesarean delivery: risk factors, mitigation, and current approaches. Curr Opin Anaesthesiol. 2025;38(3):169-178. Go to original source... Go to PubMed...
    28. Girard T, Savoldelli GL. Failed spinal anesthesia for cesarean delivery: prevention, identification and management. Curr Opin Anaesthesiol 2024;37(3):207-212. Go to original source... Go to PubMed...
    29. Landau R, Sultan P. Neuraxial anesthesia and pain management for cesarean delivery. Am J Obstet Gynecol. 2025. Go to original source...
    30. Daghmouri MA, Chaouch MA, Ben Ayoun L, Gouader A, Chatzistergiou K, Mion G, et al. Intravenous ketamine to prevent post-partum depression following cesarean under neuraxial anesthesia: A systematic review and meta-analysis of randomized controlled trials. Int J Gynaecol Obstet. 2025;171(1):94-105. Go to original source... Go to PubMed...
    31. Kareem Oleiwi Atabi T, Jabbari A, Ghorbani Gholiabad S, Bader Gazal H, Movafegh A. The Use of Ketamine and Dexmedetomidine in Cesarean Section: A Narrative Review of Clinical Applications and Safety Considerations. Anesth Pain Med. 2025;15(4):e163063. Go to original source... Go to PubMed...
    32. Garg H, Narayanan MRV, Khanna P, Yalla B. Comparison of Phenylephrine Bolus and Infusion Regimens on Maternal and Fetal Outcomes During Cesarean Delivery: A Systematic Review and Meta-Analysis. Anesth Analg. 2024;139(6):1144-1155. Go to original source... Go to PubMed...
    33. Zhao S, Chen Q, Qin P, Liu L, Wei K. Comparison of vasopressors for management of hypotension in high-risk caesarean section under neuraxial anesthesia: a systematic review and network meta-analysis. BMC Anesthesiol. 2024;24(1):447. Go to original source... Go to PubMed...
    34. Bandyopadhyay A, Sawhney C, Haldar P, Pathak S. Effect of prophylactic phenylephrine versus norepinephrine on foeto-maternal outcomes in caesarean delivery under neuraxial anaesthesia: A systematic review and meta-analysis with trial sequential analysis. Indian J Anaesth. 2025;69(7):638-649. Go to original source... Go to PubMed...
    35. Bláha J, Heřman H, Kacerovský M, Koucký M, Lukšová M, Nosková P, et al. Spinální anestezie a hypotenze rodičky: základní patofyziologie a stanovisko mezioborové pracovní skupiny k jejímu řešení. Anest. intenziv. Med. 2025;36(3):203-210. doi: 10.36290/aim.2025.042. Go to original source...
    36. Pruthi G, Dey A, Tamilchelvan H, Kapoor S, Jain K, Kasodekar SV, et al. Drug Errors in Obstetric Anesthesia: A Narative Review. J of Obst Anaesth and Crit. Care 2024;14:106-14. Go to original source...
    37. Santosh P, Bhatia K. Prevalence and Prevention of Medication Errors in Obstetric Anaeshesia Practice Letters to Editor. J of Obst Anaesth and Crit Care. 2025;15:85. Go to original source...
    38. Radwan MA, Carroll L, McCaul CL. Total spinal anaesthesia following obstetric neuroaxial blocade: a narrative review. Internal J of Obst Anaesth. 2024;59:104208. Go to original source... Go to PubMed...
    39. Nivatpumin P, Lerbunnaphong T, Taibowornpitak K. Prevalence and Perioperative Complications of Super-obese Parturients Undergoing Cesarean Delivery. https//doi.org/10.56808/2586-940X.1122.
    40. Leech C, Nutbeam T, Chu J, Knight M, Hinshaw K, Appleyard TL, et al. Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review. Resuscitation. 2025 Feb;207:110479. Go to original source... Go to PubMed...
    41. Aman M, Japan MDEC, Arakaki T, Endo M, Hasegawa J, Hashii K, et al. Proposals for improving maternal safety (2023 edition): Insights from the analysis of maternal deaths in Japan. J Obstet Gynaecol Res. 2025 Mar;51(3):e16244. Go to original source... Go to PubMed...
    42. Kotrikova D, Adamec A, Vargova M, Kristufkova A, McCullough L, Strbova D, et al. Maternal Mortality in Slovakia in the Years 2007-2023. Bratisl Med J. 2025 May;126(5):835-42.
    43. Mahdy EW, Sakr TE, Amin SR. Effect of dexmedetomidine combined with magnesium sulphate on intracranial tension in patients with severe pre-eclampsia using ultrasonographic optic nerve sheath Diameter - A randomised clinical trial. Indian J Anaesth. 2025 Aug;69(8):786-93. Go to original source...
    44. Rysava R, Koucky M, Simetka O, Zak P, Blaha J, Frausova D, et al. Recommendations for the Diagnosis and Treatment of Pregnancy-and Peripartum-Associated Thrombotic Microangiopathies (tma): A Multidisciplinary Consensus. Aktual Gynekol Porod. 2025;17:41-52.

    Return to the content


    Anesteziologie a intenzivní medicína

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.