- C-Section
- 80% done under regional techniques
- Classes of urgency
- Class 1
- Emergency: immediate threat to life of mother or fetus
- Class 2
- Urgent: maternal or fetal compromise but no threat to life
- Class 3
- Scheduled: need early delivery but no maternal or fetal compromise
- Class 4
- At a time to suit woman and maternity team
- Pre-eclampsia
- Beware laryngeal oedema
- Consider 10μcg/kg alfentanil or 2μcg/kg remifentanil for pressor response.
- For extubation consider 10-20mg increments of labetalol
- Techniques
- Single shot spinal
- Epidural anaesthesia
- CSE
- Not much benefit but useful if surgery likely to outlast single shot spinal
- Continuous spinal anaesthesia
- Needs catheter and higher rate of PDPH. Might be used in patients with cardiac disease
- GA
- CEACCP
Link:ceaccp.oxfordjournals.org/content/1/6/171.full.pdf