Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean Deliveries

Anesthesiology
Jean GuglielminottiGuohua Li

Abstract

Compared with neuraxial anesthesia, general anesthesia for cesarean delivery is associated with increased risk of maternal adverse events. Reducing avoidable general anesthetics for cesarean delivery may improve safety of obstetric anesthesia care. This study examined adverse events, trends, and factors associated with potentially avoidable general anesthetics for cesarean delivery. This retrospective study analyzed cesarean delivery cases without a recorded indication for general anesthesia or contraindication to neuraxial anesthesia in New York State hospitals, 2003 to 2014. Adverse events included anesthesia complications (systemic, neuraxial-related, and drug-related), surgical site infection, venous thromboembolism, and the composite of death or cardiac arrest. Anesthesia complications were defined as severe if associated with death, organ failure, or prolonged hospital stay. During the study period, 466,014 cesarean deliveries without a recorded indication for general anesthesia or contraindication to neuraxial anesthesia were analyzed; 26,431 were completed with general anesthesia (5.7%). The proportion of avoidable general anesthetics decreased from 5.6% in 2003 to 2004 to 4.8% in 2013 to 2014 (14% reduction; P < 0.001)...Continue Reading

References

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Citations

Apr 16, 2019·Anesthesiology·Jill M Mhyre, Pervez Sultan
Oct 2, 2020·Current Opinion in Anaesthesiology·David E Arnolds
Nov 17, 2020·Anesthesia and Analgesia·Jean Guglielminotti, Guohua Li
Dec 29, 2020·Anaesthesia·K BhatiaUNKNOWN all the authors
Feb 13, 2021·Obstetrics and Gynecology Clinics of North America·Rebecca D MinehartJaime L Daly
Nov 17, 2020·Anesthesia and Analgesia·Jean Guglielminotti, Guohua Li
Nov 17, 2020·Anesthesia and Analgesia·Jean Guglielminotti, Guohua Li
Mar 2, 2021·Current Anesthesiology Reports·Laurence RingCarlos Delgado
Apr 28, 2020·Anesthesiology Clinics·Rebecca D MinehartJaime Daly
Mar 10, 2021·Anesthesia and Analgesia·Jennette D HansenMatthias L Riess
Apr 10, 2021·Regional Anesthesia and Pain Medicine·Rachel Joyce KearnsScott M Nelson
May 1, 2021·Journal of Cardiothoracic and Vascular Anesthesia·David E ArnoldsMark A Chaney
Apr 20, 2021·Current Opinion in Anaesthesiology·Kyra Bernstein, Ruth Landau
May 26, 2021·Anesthesia and Analgesia·Barbara M Scavone, Cynthia A Wong
Jun 9, 2021·International Anesthesiology Clinics·Laurence E Ring, Ruth Landau
May 18, 2021·International Journal of Obstetric Anesthesia·J GuglielminottiG Li
Aug 16, 2021·Anaesthesia Critical Care & Pain Medicine·Ruth Landau, Anne-Sophie Janvier
Jul 7, 2020·British Journal of Anaesthesia·Thomas DixonMalachy Columb
Dec 30, 2021·Paediatric and Perinatal Epidemiology·Mégane RaineauUNKNOWN EPIMOMS Study Group
Jan 20, 2022·Clinical Obstetrics and Gynecology·Ruth LandauLaurence E Ring

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