Key result
General anesthesia linked to ~14 minutes faster delivery versus regional anesthesia in emergency C-sections.
Why the study?
Little was known about operating room surgical times and the choice of regional versus general anesthesia for cesarean deliveries.
Does general anesthesia reduce time to delivery compared to regional anesthesia in patients undergoing cesarean delivery for non-reassuring fetal tracing?
Cohort (n=183)
No
Does general anesthesia reduce time to delivery compared to regional anesthesia in patients undergoing cesarean delivery for non-reassuring fetal tracing?
Mean Difference: 13.57
Absolute Event Rate: 12.76% vs 27.02%
p-value: p=<0.001
General anesthesia for emergency cesarean section for non-reassuring fetal tracing significantly reduces time to delivery compared to neuraxial anesthesia, though it may be associated with higher rates of NICU admission.
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May shorten decision-to-delivery time in emergency cesarean; leaves open effects on neonatal outcomes and need for randomized confirmation.
Yuan et al. (2019) conducted a cohort in Non-reassuring fetal heart rate tracing requiring cesarean delivery (n=183). General anesthesia vs. Regional anesthesia (epidural or spinal) was evaluated on Time from operating room arrival to delivery of the fetus (min) (MD 13.57, p=<0.001). General anesthesia for emergency cesarean section significantly reduced the time from operating room arrival to delivery compared to epidural (adjusted mean difference 13.57 minutes) and spinal anesthesia.
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