General anesthesia Elective GA is now uncommon, limiting opportunities for training. The majority of complications relate to the airway. Failed intubation is much more frequent in obstetric than non-obstetric anesthesia. All obstetric theatres should have equipment to help with the difficult airway, and all obstetric anesthetists should be familiar with a failed intubation drill. Indications for GA include: • Maternal request. • Urgent surgery (in experienced hands and with a team that is familiar with rapid regional anesthesia, a spinal or epidural top-up can be performed almost as rapidly as a GA). • Regional anesthesia contraindicated (e.g. coagulopathy, maternal hypovolemia). • Failed regional anesthesia. • Additional surgery planned at the same time as a Caesarean section. Technique: History and examination. In particular, assess the maternal airway—mouth opening, Mallampati score, thyromental distance, neck mobility • Antacid prophylaxis • Start appropriate monitoring.شرح كل جملة باللغة العربية
بالطبع، سأقوم بشرح كل جملة باللغة العربية:
General anesthesia
Elective GA is now uncommon, limiting opportunities for training.
The majority of complications relate to the airway.
Failed intubation is much more frequent in obstetric than non-obstetric anesthesia.
All obstetric theatres should have equipment to help with the difficult airway, and all obstetric anesthetists should be familiar with a failed intubation drill.
Indications for GA include:
• Maternal request.
• Urgent surgery (in experienced hands and with a team that is familiar with rapid regional anesthesia, a spinal or epidural top-up can be performed almost as rapidly as a GA).
• Regional anesthesia contraindicated (e.g. coagulopathy, maternal hypovolemia).
• Failed regional anesthesia.
• Additional surgery planned at the same time as a Caesarean section.
Technique:
History and examination. In particular, assess the maternal airway—mouth opening, Mallampati score, thyromental distance, neck mobility.
• Antacid prophylaxis.
• Start appropriate monitoring.