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Anaes VivasObstetric anaesthesia

Anaes Vivas · Obstetric anaesthesia

Clinical viva — spinal vs GA for caesarean section

A clinical viva on the decision — the spinal is the default (safer, avoids the difficult airway), the GA for the emergency (no time), the contraindication (coagulopathy), or the failed spinal; the factors (platelets, airway, fasting, urgency, patient choice).

clinical1 min readVerification in progress

Target exams

ANZCAFRCAABAEDAIC
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Target exams

ANZCAFRCAABAEDAIC
Prompt
The examiner asks you to talk through how you decide between the spinal and the general anaesthetic for a caesarean section, and the factors that favour each.

Stimulus

Talk through the decision between the spinal and the general anaesthetic for a caesarean section. What factors favour each, and how do you decide in the emergency?

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship library.

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References2ShowHide
  1. [3]Delgado C, Ring L, Mushambi MC. General anaesthesia in obstetrics. BJA Education, 2020.PMID 33456951
  2. [33456952]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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PreviousCardiac disease in pregnancy — vivaObstetric anaesthesiaNextData viva — the cardiotocograph (CTG) and the anaesthetic implicationsObstetric anaesthesia