Anaes Cases · Obstetric anaesthesia
The category 1 caesarean — spinal or GA?
The category 1 long case — the decision between spinal (safer) and GA (faster but riskier), the time pressure, the preparation.
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Prompt
A term primigravida at 39 weeks has a foetal bradycardia (60 bpm for 5 minutes). The obstetrician calls a category 1 caesarean. The anaesthetic assessment is: BMI 32, Mallampati 2, no allergies, fasting for 6 hours, normal platelets. Discuss your technique.
Presentation
A term primigravida, 39 weeks, BMI 32, Mallampati 2, fasting 6 hours, normal platelets. She has a foetal bradycardia of 60 bpm for 5 minutes. Category 1 caesarean called. The decision is the technique.[33456952]
References2ShowHide
- [3]Delgado C, Ring L, Mushambi MC. General anaesthesia in obstetrics. BJA Education, 2020.PMID 33456951
- [33456952]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.