Awareness and Aortocaval Obstruction in Obstetric Anesthesia

Publication date: Available online 12 December 2016
Source:Anesthesiology Clinics
Author(s): Nathaniel Hsu, Robert Gaiser

Teaser

Awareness during general anesthesia for cesarean delivery continues to be a major problem. The key to preventing awareness is strict attention to anesthetic technique. The prevalence and implications of aortocaval compression have been firmly established. Compression of the vena cava is a real occurrence when assuming the supine position. Relief of this compression most likely does not occur until the patient is turned 30°, which is not feasible for performing cesarean delivery. Although it is still wise to tilt the patient, the benefit of this tilt may not be as great as once thought.


http://ift.tt/2gGWhXW