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Emergencies in obstetric anaesthesia: a narrative review
C H Prior1, C E G Burlinson2,3, A Chau2,3,4
1Department of Anaesthesia, West Middlesex University Hospital, London, UK.
Anaesthesia
|September 12, 2022
Summary
This review covers critical obstetric emergencies, including caesarean sections, airway management, hemorrhage, and cardiac arrest. It highlights recent research and guidelines for improved maternal care.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Emergency Medicine
Background:
- Obstetric emergencies pose significant risks to maternal health.
- Recent advancements in research and clinical practice offer opportunities to improve outcomes.
Purpose of the Study:
- To provide a narrative review of key advancements in six critical obstetric emergencies.
- To synthesize recent research, guidelines, and recommendations for managing these emergencies.
Main Methods:
- A narrative review of literature published within the last five years.
- Emphasis on large multicenter randomized trials, national/international guidelines, and professional society recommendations.
Main Results:
- Discussed prevention and management strategies for failed neuraxial techniques and obstetric airways.
- Highlighted current perspectives on managing massive obstetric hemorrhage with tranexamic acid and fibrinogen concentrate.
- Addressed hypertensive crises, neuraxial anesthesia emergencies, and maternal cardiac arrest, including ECMO use.
Conclusions:
- Recent research provides valuable insights into managing complex obstetric emergencies.
- Adherence to updated guidelines and evidence-based practices is crucial for optimizing maternal outcomes.
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