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Regional anaesthesia for operative delivery

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Regional Analgesia in Obstetrics

Abstract

In the first proceedings of the symposium on Epidural Analgesia in Obstetrics1 caesarean section under regional anaesthesia is scarcely mentioned: Crawford2 and Tunstall3 specifically state they do not use an epidural catheter inserted for labour for subsequent caesarean section and Moir, 4 describing 1800 epidurals over a 4–5 year period, only performed 30 caesarean sections under epidural anaesthesia. It would appear that the vast majority of caesarean sections were conducted with general anaesthesia. Steens was particularly scathing about “Paralyse and Puff” anaesthetists when he described “the extremely meagre repertoire” of anaesthetists who could not “perform a lumbar puncture, still less an epidural, with much confidence”. How times change! Now regional anaesthesia accounts for 78% of caesarean section anaesthetics (Shibli KU, Russell IF. A survey of anaesthetic techniques used for caesarean section in the UK in 1997. International Journal of Obstetric Anesthesia 2000; in press) a major increase since 1982.6

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  1. Ian Russell
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Editors and Affiliations

  1. Department of Anaesthetics, St Thomas’ Hospital, London, SE1 7EH, UK

    Felicity Reynolds MBBS, MD, FRCA, FRCOG ad eundem

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Russell, I. (2000). Regional anaesthesia for operative delivery. In: Reynolds, F. (eds) Regional Analgesia in Obstetrics. Springer, London. https://doi.org/10.1007/978-1-4471-0435-3_22

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  • DOI: https://doi.org/10.1007/978-1-4471-0435-3_22

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