Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Sep;38(3):187-198.
doi: 10.1016/j.bpa.2024.11.003. Epub 2024 Nov 27.

Cesarean delivery: Clinical updates

Allison Lee  1 , Max Gonzalez Estevez  2 , Agnès Le Gouez  3 , Frédéric J Mercier  4
Affiliations
Review

Cesarean delivery: Clinical updates

Allison Lee et al. Best Pract Res Clin Anaesthesiol. 2024 Sep.

Abstract

This article offers a comprehensive clinical update on best practices for neuraxial and general anesthesia in cesarean delivery, the most frequently performed major surgical procedure globally. Current evidence-based strategies to address common anesthetic challenges, such as maternal hypotension and intraoperative breakthrough pain, are discussed in detail. Practical approaches for optimizing maternal hemodynamic stability, including the use of vasopressors, fluid management and maternal positioning, are reviewed. Additionally, the article explores best practices for general anesthesia, with an emphasis on new approaches to prolonging safe apnea time, rapid sequence induction and difficult airway management.

Keywords: Airway: preoxygenation; Anesthesia: spinal; Cesarean; Epidural; General; Hemodynamics: hypotension; Intubation; Vasopressors.

PubMed Disclaimer

Conflict of interest statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Allison Lee (A.L.): is a consultant for Covidien LP- Max Gonzalez Estevez (M.G.E.): is a consultant for Edwards Lifesciences®- Agnès Le Gouez (A.L.G.): has no conflicts of interest in relation with this manuscript- Frédéric J. Mercier (F.J.M.): received honoraria from Aguettant company as a speaker (symposia) and as a consultant.

LinkOut - more resources