Obstetric Anaesthesia for Non-obstetric Anaesthetists

145 Pages·2013·3.05 MB·English

by  Ian Wrencg

OBSTETRIC
ANAESTHESIA
FOR NON-
OBSTETRIC
ANAESTHETISTS -

CPD MATRIX
Ian Wrench
Consultant Anaesthetist
Acknowledgements:
• Martin Feast
• Mel Woolnough
• Claire Smith (Rotherham)
• Fleur Roberts

Order of talk:
• Anaesthesia for obstetric procedures
• Analgesia on labour ward
• The critically ill parturient
• Complications of regional techniques
• Obstetric emergencies
ANAESTHESIA
FOR OBSTETRIC
PROCEDURES

CPD Matrix:
2B02 and 2B03

“Delivery within 75 minutes does not appear to increase the risk of compromise, while delivery
within 30 minutes may not always result in a good neonatal outcome. Once a decision to deliver
has been made, therefore, delivery should be carried out with an urgency appropriate to the risk
to the baby and the safety of the
Mother.”

General anaesthesia
for obstetric
procedures.
Indications for General Anaesthesia
• Speed – category 1 caesarean sections
• Failure of a regional technique
• Patient preference
• Regional technique contraindicated
• Coagulopathy
• Massive haemorrhage
• Localised infection in area that spinal would be sited
• Systemic infection
GA rate approximately 13% of all caesareans at
Jessop Wing