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Anaesthesia


Title:Category-1 caesarean section: a survey of anaesthetic and peri-operative management in the UK
Author(s):Kinsella, S. M. Walton, B. Sashidharan, R. Draycott, T.
Address:St Michael's Hospital, Bristol, UK. Stephen.Kinsella@uhbristol.nhs.uk
Year:2010 Apr
Journal Title:Anaesthesia
Page Number:362-8
Language:eng
Volume:65
Issue:4
ISSN/ISBN:1365-2044 (Electronic). 0003-2409 (Linking)
Abstract:A national survey of anaesthetic and peri-operative management of category-1 caesarean section was sent to 245 consultant-led maternity units. There was a 70% response rate. The median (IQR [range]) general anaesthetic rate was 51% (29%-80% [6%-100%]), 12% (9%-16% [3%-93%]), 4% (2%-5% [<1%-18%]), for category-1 caesarean section, categories 1-3 (non-elective/emergency) and category-4 (elective) caesarean section, respectively. The main operating theatre for caesarean section is on the delivery suite in 151 (88%) units, and 112 (66%) units also have a second theatre in the same location. One hundred and thirty-nine (81%) use the standard urgency classification described in the NICE caesarean section guideline. However, only 72 (42%), 24 (14%), and 16 (9%) units comply with this guideline's recommended decision-delivery intervals for category-1 (< or = 30 min), category-2 (< or = 30 min) and category-3 (< or = 75 min) caesarean sections, respectively. Practice in the smaller units was similar to that in the larger units, although there was less availability of a dedicated anaesthetist, intra-uterine resuscitation guidelines and operating theatres on the delivery suite in the smaller units.

 
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