Key result
General anaesthesia is associated with a faster 17-minute decision-to-delivery interval versus epidural or spinal techniques.
Why the study?
Does the type of anaesthesia affect the decision-to-delivery interval in emergency caesarean sections?
Population
397 patients undergoing 'immediate' emergency caesarean section between July 2000 and June 2004 at the Royal…
Comparison
General anaesthesia, epidural top-up, or spinal… vs Comparison between different anaesthesia…
Design
Cohort
Authors
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Supports epidural top-up for near-general anaesthesia speeds in emergencies; leaves open randomized confirmation of safety and outcomes.
Observational (n=397)
No
Does the type of anaesthesia affect the decision-to-delivery interval in emergency caesarean sections?
Administering an epidural bolus into an established catheter allows a decision-to-delivery interval almost as short as general anaesthesia for emergency caesarean sections.
Popham et al. (2007) conducted an observational in Emergency caesarean section (n=397). Type of anaesthesia (general, epidural, spinal) was evaluated on Decision-to-delivery interval. Mean decision-to-delivery intervals for immediate caesarean sections were 17 minutes with general anaesthesia, 19 minutes with epidural top-up, and 26 minutes with spinal anaesthesia.
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