Anesthesia

Anesthesia

The choice of anesthetic technique must be left to the individual skill and experience of the anaesthetist. However, as a general principle, if the mother does not already have a regional anaesthetic in situ, consider a GA if haemorrhage is severe, there is on-going haemodynamic instability or the diagnosis is uncertain. If there is a spinal or epidural in situ, surgery may continue safely, as conversion to general anaethesia may make the haemodynamic instability worse. There are many case reports of caesarean hysterectomies performed soley under regional techniques. A regional technique should be converted to GA if the woman becomes unconsciousness due to hypotension or has inadequate anaesthesia, especially drug prolonged surgery.