AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie, Table of Contents Anästhesiol Intensivmed Notfallmed Schmerzther 2020; 55(11/12): 662-673DOI: 10.1055/a-1070-6810 Topthema Notsectio: eine Herausforderung in der geburtshilflichen Anästhesie Jessica Wladarz , Manuel Wenk , Christina Massoth Recommend Article Abstract Buy Article Die Notsectio ist einer der häufigsten geburtshilflichen Notfälle. Aufgrund des kritischen Zeitintervalls und einer von der Routine abweichenden Vorgehensweise ist sie eine besondere Herausforderung für die interprofessionelle Versorgung. Wesentlicher Anspruch aus anästhesiologischer Perspektive ist die schnellstmögliche Etablierung einer ausreichenden Anästhesietiefe bei gleichzeitiger Minimierung des Komplikationsrisikos. Full Text References Literatur 1 Betran AP, Torloni MR, Zhang J. et al. What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies. Reprod Health 2015; 12: 57 2 IQTIG – Institut für Qualitätssicherung und Transparenz im Gesundheitswesen. Qualitätsreport 2020. Bundesauswertung zum Erfassungsjahr 2019. 2020 Im Internet (Stand: 25.10.2020): https://iqtig.org/downloads/auswertung/2019/16n1gebh/QSKH_16n1-GEBH_2019_BUAW_V02_2020-07-14.pdf 3 Lucas DN, Yentis SM, Kinsella SM. et al. Urgency of caesarean section: a new classification. J R Soc Med 2000; 93: 346-350 4 Grace L, Greer RM, Kumar S. Perinatal consequences of a category 1 caesarean section at term. BMJ Open 2015; 5: e007248 5 Pallasmaa N, Ekblad U, Aitokallio-Tallberg A. et al. Cesarean delivery in Finland: maternal complications and obstetric risk factors. Acta Obstet Gynecol Scand 2010; 89: 896-902 6 Soltanifar S, Russell R. The National Institute for Health and Clinical Excellence (NICE) guidelines for caesarean section, 2011 update: implications for the anaesthetist. Int J Obstet Anesth 2012; 21: 264-272 7 Bremerich D, Annecke T, Chappell D. et al. Die geburtshilfliche Analgesie und Anästhesie. S1-Leitlinie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin in Zusammenarbeit mit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. 2020 Im Internet (Stand: 25.10.2020): http://www.awmf.org/uploads/tx_szleitlinien/001-038l_S1_Die-geburtshilfliche-Analgesie-und-Anaesthesie_2020-03.pdf 8 Heller G, Bauer E, Schill S. et al. Decision-to-Delivery Time and Perinatal Complications in Emergency Cesarean Section. Dtsch Arztebl Int 2017; 114: 589-596 doi:10.3238/arztebl.2017.0589 9 Berg D, Ratzel R. „Stellungnahme zur Frage der erlaubten Zeit zwischen Indikationsstellung und Sectio (EE-Zeit) bei einer Notlage“: Erläuterung der DGGG-Stellungnahme zur Leitlinie. Gynakologe 2013; 46: 84-87 doi:10.1007/s00129-012-3003-z 10 Zetner DB, Petersen I, Konge L. et al. Training Cesarean Section: A Scoping Review. Simul Healthc 2019; 14: 264-270 11 Higuchi H, Takagi S, Zhang K. et al. Effect of Lateral Tilt Angle on the Volume of the Abdominal Aorta and Inferior Vena Cava in Pregnant and Nonpregnant Women Determined by Magnetic Resonance Imaging. Anesthesiology 2015; 122: 286-293 12 Aust H, Koehler S, Kuehnert M. et al. Guideline-recommended 15° left lateral table tilt during cesarean section in regional anesthesia-practical aspects: An observational study. J Clin Anesth 2016; 32: 47-53 13 Juang J, Gabriel RA, Dutton RP. et al. Choice of Anesthesia for Cesarean Delivery. Anesth Analg 2017; 124: 1914-1917 14 Kinsella SM, Walton B, Sashidharan R. et al. Category-1 caesarean section: a survey of anaesthetic and peri-operative management in the UK*. Anaesthesia 2010; 65: 362-368 15 Palmer E, Ciechanowicz S, Reeve A. et al. Operating room-to-incision interval and neonatal outcome in emergency caesarean section: a retrospective 5-year cohort study. Anaesthesia 2018; 73: 825-831 16 Kinsella SM. A prospective audit of regional anaesthesia failure in 5080 Caesarean sections. Anaesthesia 2008; 63: 822-832 17 Cobb BT, Lane-Fall MB, Month RC. et al. Anesthesiologist Specialization and Use of General Anesthesia for Cesarean Delivery. Anesthesiology 2019; 130: 237-246 18 Mankowitz SKW, Gonzalez Fiol A, Smiley R. Failure to Extend Epidural Labor Analgesia for Cesarean Delivery Anesthesia: A Focused Review. Anesth Analg 2016; 123: 1174-1180 19 Bauer ME, Kountanis JA, Tsen LC. et al. Risk factors for failed conversion of labor epidural analgesia to cesarean delivery anesthesia: a systematic review and meta-analysis of observational trials. Int J Obstet Anesth 2012; 21: 294-309 20 Hillyard SG, Bate TE, Corcoran TB. et al. Extending epidural analgesia for emergency Caesarean section: a meta-analysis. Br J Anaesth 2011; 107: 668-678 21 Gaiser RR, Cheek TG, Gutsche BB. Epidural lidocaine versus 2-chloroprocaine for fetal distress requiring urgent cesarean section. Int J Obstet Anesth 1994; 3: 208-210 22 DʼAngelo R, Smiley RM, Riley ET. et al. Serious complications related to obstetric anesthesia: The serious complication repository project of the society for obstetric Anesthesia and Perinatology. Anesthesiology 2014; 120: 1505-1512 23 McDonnell NJ, Paech MJ, Clavisi OM. et al. ANZCA Trials Group. Difficult and failed intubation in obstetric anaesthesia: an observational study of airway management and complications associated with general anaesthesia for caesarean section. Int J Obstet Anesth 2008; 17: 292-297 24 Van de Putte P, Vernieuwe L, Perlas A. Term pregnant patients have similar gastric volume to non-pregnant females: a single-centre cohort study. Br J Anaesth 2019; 122: 79-85 25 Paranjothy S, Griffiths JD, Broughton HK. et al. Interventions at caesarean section for reducing the risk of aspiration pneumonitis. Cochrane Database Syst Rev 2014; (02) CD004943 26 Marcus HE, Behrend A, Schier R. et al. [Anesthesiological management of Caesarean sections : nationwide survey in Germany]. Anaesthesist 2011; 60: 916-928 27 Houthoff Khemlani K, Weibel S, Kranke P. et al. Hypnotic agents for induction of general anesthesia in cesarean section patients: A systematic review and meta-analysis of randomized controlled trials. J Clin Anesth 2018; 48: 73-80 28 Pandit JJ, Andrade J, Bogod DG. et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. Br J Anaesth 2014; 113: 549-559 29 Williamson RM, Mallaiah S, Barclay P. Rocuronium and sugammadex for rapid sequence induction of obstetric general anaesthesia. Acta Anaesthesiol Scand 2011; 55: 694-699 30 Stourac P, Adamus M, Seidlova D. et al. Low-Dose or High-Dose Rocuronium Reversed with Neostigmine or Sugammadex for Cesarean Delivery Anesthesia: A Randomized Controlled Noninferiority Trial of Time to Tracheal Intubation and Extubation. Anesth Analg 2016; 122: 1536-1545 31 Tran DTT, Newton EK, Mount VAH. et al. Rocuronium vs. succinylcholine for rapid sequence intubation: a Cochrane systematic review. Anaesthesia 2017; 72: 765-777 32 Heesen M, Klöhr S, Hofmann T. et al. Maternal and foetal effects of remifentanil for general anaesthesia in parturients undergoing caesarean section: a systematic review and meta-analysis. Acta Anaesthesiol Scand 2013; 57: 29-36 33 Yoo KY, Jeong CW, Park BY. et al. Effects of remifentanil on cardiovascular and bispectral index responses to endotracheal intubation in severe pre-eclamptic patients undergoing Caesarean delivery under general anaesthesia. Br J Anaesth 2009; 102: 812-819 34 Hawkins JL, Chang J, Palmer SK. et al. Anesthesia-related maternal mortality in the United States: 1979–2002. Obstet Gynecol 2011; 117: 69-74 35 Lucas DN, Bamber JH. UK Confidential Enquiry into Maternal Deaths – still learning to save mothersʼ lives. Anaesthesia 2018; 73: 416-420 36 Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987; 42: 487-490 37 Tao W, Edwards JT, Tu F. et al. Incidence of unanticipated difficult airway in obstetric patients in a teaching institution. J Anesth 2012; 38 Hawthorne L, Wilson R, Lyons G. et al. Failed intubation revisited: 17-yr experience in a teaching maternity unit. Br J Anaesth 1996; 76: 680-684 39 Rose DK, Cohen MM. The incidence of airway problems depends on the definition used. Can J Anaesth 1996; 43: 30-34 40 Kinsella SM, Winton AL, Mushambi MC. et al. Failed tracheal intubation during obstetric general anaesthesia: a literature review. Int J Obstet Anesth 2015; 24: 356-374 41 Rose DK, Cohen MM. The airway: problems and predictions in 18,500 patients. Can J Anaesth 1994; 41: 372-383 42 Heinrich S, Irouschek A, Prottengeier J. et al. Adverse airway events in parturient compared with non-parturient patients. Is there a difference? Results from a quality management project. J Obstet Gynaecol Res 2015; 41: 1032-1039 43 McClelland SH, Bogod DG, Hardman JG. Pre-oxygenation in pregnancy: An investigation using physiological modelling. Anaesthesia 2008; 63: 259-263 44 Krom AJ, Cohen Y, Miller JP. et al. Choice of anaesthesia for category-1 caesarean section in women with anticipated difficult tracheal intubation: the use of decision analysis. Anaesthesia 2017; 72: 156-171 45 Dogru K, Yildiz K, Dalgiç H. et al. Inhibitory effects of desflurane and sevoflurane on contractions of isolated gravid rat myometrium under oxytocin stimulation. Acta Anaesthesiol Scand 2003; 47: 472-474 46 Lee J, Lee J, Ko S. The relationship between serum progesterone concentration and anesthetic and analgesic requirements: a prospective observational study of parturients undergoing cesarean delivery. Anesth Analg 2014; 119: 901-905 47 Datta S, Migliozzi RP, Flanagan HL. et al. Chronically administered progesterone decreases halothane requirements in rabbits. Anesth Analg 1989; 68: 46-50 48 Ueyama H, Hagihira S, Takashina M. et al. Pregnancy does not enhance volatile anesthetic sensitivity on the brain: an electroencephalographic analysis study. Anesthesiology 2010; 113: 577-584 49 Zand F, Hadavi SMR, Chohedri A. et al. Survey on the adequacy of depth of anaesthesia with bispectral index and isolated forearm technique in elective Caesarean section under general anaesthesia with sevoflurane. Br J Anaesth 2014; 112: 871-878 50 Hu L, Pan J, Zhang S. et al. Propofol in combination with remifentanil for cesarean section: Placental transfer and effect on mothers and newborns at different induction to delivery intervals. Taiwan J Obstet Gynecol 2017; 56: 521-526 51 Van De Velde M, Teunkens A, Kuypers M. et al. General anaesthesia with target controlled infusion of propofol for planned caesarean section: Maternal and neonatal effects of a remifentanil-based technique. Int J Obstet Anesth 2004; 13: 153-158 52 Thind AS, Turner RJ. In vitro effects of propofol on gravid human myometrium. Anaesth Intensive Care 2008; 36: 802-806 53 Van Aken H. Zur Frage der postoperativen Überwachung von Kaiserschnittpatientinnen. Gemeinsame Stellungnahme der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe, der Arbeitsgemeinschaft Medizinrecht, der Deutschen Gesellschaft für Anästhesiologie und. Anästh Intensivmed 2016; 57: 47-50