Highlights
- •Total intravenous anaesthesia is used infrequently for caesarean delivery.
- •Total intravenous anaesthesia may confer benefit in obstetric anaesthesia.
- •Practical barriers to total intravenous anaesthesia in obstetrics must be addressed.
Abstract
Obstetric general anaesthesia technique usually involves intravenous induction and
maintenance with volatile agents. Total intravenous anaesthesia has gained in popularity
in non-obstetric practice because of environmental concerns associated with volatile
inhalational anaesthetics and evidence of a superior recovery profile. Publications
on the use of total intravenous anaesthesia for caesarean delivery are sparse. The
limited evidence suggests that total intravenous anaesthesia may confer benefits for
caesarean delivery, including reducing the risk of haemorrhage. However, there are
practical barriers to utilising total intravenous anaesthesia in obstetric anaesthesia.
We discuss the evidence and potential role of total intravenous anaesthesia for caesarean
delivery.
Keywords
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Article info
Publication history
Published online: April 08, 2022
Accepted:
April 4,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
