Avoidable general anesthesia for nonobstetric surgery during pregnancy: a retrospective cohort pilot study (2011–2020)

IF 2.6 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia Pub Date : 2025-02-01 DOI:10.1016/j.ijoa.2024.104265

JP Salaün , A. Baron , T. Simonet , A. Chagnot , A. Alves , R. Fauvet , S. Albadri , E. Villeneuve , L.J. Salomon , M-P. Bonnet , G. Orliaguet , J-L. Hanouz , L. Bouvet , H. Keita

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引用次数: 0

Abstract

Background

About 2% of pregnant women are exposed to general anesthesia for nonobstetric surgery. Given the possibility of adverse fetal and maternal effects associated with exposure to general anesthesia, we sought to evaluate the proportion of cases where general anesthesia could have been avoided.

Methods

This single-center pilot retrospective analysis of nonobstetric surgeries performed during pregnancy was conducted at the Caen Normandy University Hospital (2011–2020). An expert panel of seven French anesthesiologists, obstetricians determined whether general anesthesia was avoidable versus required through a majority vote based on an anonymous standardized data collection sheet. General anesthesia was considered avoidable when an alternative such as neuraxial/regional anesthesia or sedation could have been performed.

Results

General anesthesia was avoidable in 36/106 (34%) cases of nonobstetric surgery during pregnancy. Endoscopic JJ ureteral stent insertion or removal was the most common procedure where GA was considered avoidable (19/21 cases; 90%). The consensus rates within the expert panel were of 78% for general anesthesia requirement and 71% for general anesthesia avoidability (P=0.7)

Conclusions

A retrospective review of cases by an expert panel identified that general anesthesia for nonobstetric surgery during pregnancy was likely avoidable in one-third of all cases.

查看原文本刊更多论文

孕期非产科手术中可避免的全身麻醉：回顾性队列试点研究（2011-2020 年）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of obstetric anesthesia 医学-妇产科学

CiteScore

4.70

自引率

7.10%

发文量

285

审稿时长

58 days

期刊介绍： The International Journal of Obstetric Anesthesia is the only journal publishing original articles devoted exclusively to obstetric anesthesia and bringing together all three of its principal components; anesthesia care for operative delivery and the perioperative period, pain relief in labour and care of the critically ill obstetric patient. • Original research (both clinical and laboratory), short reports and case reports will be considered. • The journal also publishes invited review articles and debates on topical and controversial subjects in the area of obstetric anesthesia. • Articles on related topics such as perinatal physiology and pharmacology and all subjects of importance to obstetric anaesthetists/anesthesiologists are also welcome. The journal is peer-reviewed by international experts. Scholarship is stressed to include the focus on discovery, application of knowledge across fields, and informing the medical community. Through the peer-review process, we hope to attest to the quality of scholarships and guide the Journal to extend and transform knowledge in this important and expanding area.