ReviewJournal of anesthesia2016
Rethinking general anesthesia for cesarean section.
Review in Journal of anesthesia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
General Anesthesia in Obstetric Patients for Cesarean Section, Maternal and Perinatal Outcomes
Prevention of Hypotension During Elective Cesarean Section Under Spinal Anaesthesia With Fixed-rate Metaraminol Infusion Versus Fixed-rate Norepinephrine Infusion: A Double-blind Randomised Controlled Clinical Trial.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Effect of cesarean section on the risk of autism spectrum disorders/attention deficit hyperactivity disorder in offspring: a meta-analysis.Archives of gynecology and obstetrics · 2024Pooled it
- Classifying caesarean section to understand rising rates among Palestinian refugees: results from 290,047 electronic medical records across five settings.BMC pregnancy and childbirth · 2022Pooled it
- Adequacy of maternal anesthesia depth with two sodium thiopental doses in elective caesarean section: a randomized clinical trial.BMC anesthesiology · 2021Trial
- Pharmacokinetic Simulation of Remifentanil Dosing at Different Effect-Site Targets During Target-Controlled Infusion for Cesarean Delivery.Journal of clinical medicine · 2026Article
- Prolonged Corrected QT Interval Is Associated with Lower Incidence of Maternal Hypotension During Spinal Anesthesia in Cesarean Delivery: A Prospective Observational Study.Medicina (Kaunas, Lithuania) · 2025Observational
- Simulation of Propofol Target-Controlled Infusion up to Time of Delivery in Cesarean Section: A Bench Study.Journal of clinical medicine · 2025Article
- A pilot study on LC-MS/MS quantification of remifentanil, etomidate, and rocuronium in maternal and fetal serum microsamples.Scientific reports · 2025Article
- Article
- Perioperative Management of a Needle-Phobic Parturient for a Cesarean Section: A Case Report.Cureus · 2024Article
- A retrospective study of pre-operative fasting times prior to elective or emergency cesarean birth in a large maternity hospital: Lessons to be learned to minimize the fasting time.European journal of midwifery · 2024Article
- Fear of anesthesia for cesarean section among pregnant women: a multicenter cross-sectional study.Perioperative medicine (London, England) · 2023Article
- Evaluating patients' choice of general and spinal anesthesia for elective cesarean section and associated factors: a descriptive study.Annals of medicine and surgery (2012) · 2023Article
- Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study.Medicina (Kaunas, Lithuania) · 2022Article
- CONVERSION RATE OF EPIDURAL ANALGESIA TO CAESAREAN SECTION REGIONAL OR GENERAL ANESTHESIA.Acta clinica Croatica · 2022Article
- General anesthesia for cesarean section: are we doing it well?Anesthesia and pain medicine · 2022Review
- Anesthesia, sex and miscarriage history may influence the association between cesarean delivery and autism spectrum disorder.BMC pediatrics · 2021Article
- A retrospective review of 10-year trends in general anesthesia for cesarean delivery at a university hospital: the impact of a newly launched team on obstetric anesthesia practice.BMC health services research · 2020Review
- Caesarean section, but not induction of labour, is associated with major changes in cord blood metabolome.Scientific reports · 2019Article
- Exposure to General Anesthesia May Contribute to the Association between Cesarean Delivery and Autism Spectrum Disorder.Journal of autism and developmental disorders · 2019Article
- [Drugs for intravenous induction of anesthesia: propofol].Der Anaesthesist · 2018Article
Corrections and comments
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Authors and funding
6 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this review, we describe the current consensus surrounding general anesthetic management for cesarean section. For induction of anesthesia, rapid-sequence induction using thiopental and suxamethonium has been the recommended standard for a long time. In recent years, induction of anesthesia using propofol, rocuronium, and remifentanil have been gaining popularity. To prevent aspiration pneumonia, a prolonged preoperative fasting and an application of cricoid pressure during induction of anesthesia have been recommended, but these practices may require revision. Guidelines for difficult airway management were developed first in obstetric anesthesia, and the use of a supraglottic airway is now recognized as an effective rescue device. After the delivery of a fetus, switching from volatile anesthetics to intravenous anesthetics has been recommended to avoid uterine atony. At the same time, intraoperative awareness should be avoided. The rate of persistent wound pain is higher when only general anesthesia was used during cesarean section than with regional anesthesia, and thus it is necessary to provide a sufficient postoperative analgesia using multimodal analgesia, including intravenous patient-controlled analgesia (IV-PCA), transversus abdominis plane (TAP) block, non-steroidal inflammatory drugs, and acetaminophen.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.