Avoidable general anesthesia for nonobstetric surgery during pregnancy: a retrospective cohort pilot study (2011–2020)
Authors' conclusion
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.
Study context
- Population
- Pregnant women undergoing nonobstetric surgery under GA, Caen Normandy University Hospital, 2011–2020
- Participants
- 106 cases
- Outcome
- Proportion of cases where GA was avoidable (alternative such as neuraxial/RA or sedation possible), per expert panel
Methodological detailssingle-centre, pilot, expert panel majority vote, Expert panel of seven French anesthesiologists, obstetricians; majority vote on anonymous standardized data sheet
- Single-centre
- Pilot
- Expert panel majority vote
- Expert panel of seven French anesthesiologists, obstetricians; majority vote on anonymous standardized data sheet
Main finding
As reported in the abstract
GA avoidable
GA avoidable
36 of 106
34%
Observational data: associations, not effects.
Further findings
GA avoidable in endoscopic JJ ureteral stent insertion or removal (most common procedure)
- GA avoidable
- 19/21 cases; 90%
Expert panel consensus rates
- Consensus for GA requirement
- 78%
- Consensus for GA avoidability
- 71%
- P=0.7
Original publication
Avoidable general anesthesia for nonobstetric surgery during pregnancy: a retrospective cohort pilot study (2011–2020). Int J Obstet Anesth. Published 4 September 2024. doi:10.
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