Article: [Execution of analgesia and anesthesia procedures in obstetrics : Second revised recommendations of the German Society for Anesthesiology and Intensive Care Medicine and the Professional Association of German Anesthetists in cooperation with the...]

While guidelines represent systematically developed aids for decision-making on appropriate courses of action, recommendations should focus the attention of the medical profession on noteworthy circumstances which are in need of amendment. The new recommendations on the "Execution of analgesia and anesthesia procedures in obstetrics" of the German Society for Anesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI) and the Professional Association of German Anesthetists (Berufsverband Deutscher Anästhesisten, BDA) in cooperation with the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG) comprehensively fulfill these requirements. The new recommendations include not only revisions in the form of updating but also supplementations in the form of the new chapters "Initial care of newborns", "Postpartum hemorrhaging" and "Morbid obesity". In the following article relevant alterations to newly formulated or completely amended sections with consequences for the clinical practice will be discussed.

Citing Articles

A Prospective Randomized Trial of Ropivacaine 5 mg with Sufentanil 2.5 μg as a Test Dose for Detecting Epidural and Intrathecal Injection in Obstetric Patients.

Li Y, Li Y, Yang C, Huang S J Clin Med. 2023; 12(1).

PMID: 36614982 PMC: 9821553. DOI: 10.3390/jcm12010181.

Epidural Catheterization in Obstetrics: A Checklist-Based Video Assessment of Free Available Video Material.

Flinspach A, Raimann F, Schalk R, Bepler L, Ruesseler M, Flinspach M J Clin Med. 2022; 11(6).

PMID: 35330050 PMC: 8953318. DOI: 10.3390/jcm11061726.

Cafedrine/Theodrenaline (20:1) Is an Established Alternative for the Management of Arterial Hypotension in Germany-a Review Based on a Systematic Literature Search.

Bein B, Christ T, Eberhart L Front Pharmacol. 2017; 8:68.

PMID: 28270765 PMC: 5318387. DOI: 10.3389/fphar.2017.00068.

[Caesarean sections under regional anesthesia: pros and cons of supplementary oxygen].

Aust H, Zemlin M, Woernle F, Wulf H, Rusch D Anaesthesist. 2013; 62(3):201-12.

PMID: 23392217 DOI: 10.1007/s00101-012-2129-7.

References

1.

Cooper G, McClure J . Anaesthesia chapter from Saving mothers' lives; reviewing maternal deaths to make pregnancy safer. Br J Anaesth. 2007; 100(1):17-22. DOI: 10.1093/bja/aem344. View

2.

Van der Vyver M, Halpern S, Joseph G . Patient-controlled epidural analgesia versus continuous infusion for labour analgesia: a meta-analysis. Br J Anaesth. 2002; 89(3):459-65. DOI: 10.1093/bja/aef217. View

3.

Waterstone M, Bewley S, Wolfe C . Incidence and predictors of severe obstetric morbidity: case-control study. BMJ. 2001; 322(7294):1089-93; discussion 1093-4. PMC: 31259. DOI: 10.1136/bmj.322.7294.1089. View

4.

Cyna A, Andrew M, Emmett R, Middleton P, Simmons S . Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database Syst Rev. 2006; (4):CD002251. DOI: 10.1002/14651858.CD002251.pub2. View

5.

Wee M, Brown H, Reynolds F . The National Institute of Clinical Excellence (NICE) guidelines for caesarean sections: implications for the anaesthetist. Int J Obstet Anesth. 2005; 14(2):147-58. DOI: 10.1016/j.ijoa.2004.09.008. View

[Execution of Analgesia and Anesthesia Procedures in Obstetrics : Second Revised Recommendations of the German Society for Anesthesiology and Intensive Care Medicine and the Professional Association of German Anesthetists in Cooperation with The...]