Anesthetic Management for Manual Removal of Retained Placenta in Parturients Without Labor Epidural Analgesia: A Retrospective Multicenter Real‐World Study
Authors' conclusion
In our cohort, tubeless GA was preferred for fasted, lower BMI, and hemodynamically stable patients, with tracheal intubation typically reserved for more complex cases, reflecting inherent selection bias.
Study context
- Population
- Parturients without labor epidural analgesia undergoing manual removal of placenta (MRP) at two tertiary centres in Israel, 2016–2022
- Participants
- 423 participants · 2 centres
- Exposure
- General anesthesia (GA) with vs without tracheal intubation
- Tracheal intubationn = 269reference
- Tubeless GAn = 140
- Outcome
- Anesthetic management practices (anesthetic technique)
Methodological detailsmulticentre, descriptive
- Multicentre
- Descriptive
Main finding
As reported in the abstract
Anesthetic technique
- GA used
- 409 (96.7%)
Observational data: associations, not effects.
Further findings
Factors associated with tracheal intubation (multivariable analysis)
- Higher BMI, aOR
- 2.19
- Elevated heart rate, aOR
- 1.86
Tracheal intubation rates over time · 2016 to 2022
- Significantly declined following introduction of gastric ultrasound
Safety
Intraoperative hypotension
P = 0.034
Vasopressor use
P = 0.006
Blood product transfusions
P = 0.006
Original publication
Anesthetic Management for Manual Removal of Retained Placenta in Parturients Without Labor Epidural Analgesia: A Retrospective Multicenter Real‐World Study. Acta Anaesthesiol Scand. Published 4 May 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →