Obstetric anaesthesia

Clinical practices in general anaesthesia for caesarean section: A nationwide cross-sectional survey

Eur J Anaesthesiol Intensive CarePublished Cross-sectional study

Authors' conclusion

Despite progress towards guideline adherence, substantial gaps persist between recommendations and clinical practice in German obstetric anaesthesia.

Study context

Population
Anaesthesiologists regularly working in obstetric anaesthesia in German hospitals171 locations and institutions
Participants
567 participants
Outcome
Contraindications for neuraxial procedures, estimated GA rates, perioperative management strategies, and conformity with guidelines
Methodological detailsnationwide, anonymised, questionnaire survey
  • Nationwide
  • Anonymised
  • Questionnaire survey

Main finding

As reported in the abstract

Preference for neuraxial anaesthesia over general anaesthesia (GA) (Likert score)
4.8/5
GA rate for caesarean section (CS), median [range as printed]
5 [5 to 10]%
PONV prophylaxis provided by respondents
89.4%
Suxamethonium the favoured NMBA
71.7%
Balanced anaesthesia with sevoflurane
84%
Nitrous oxide use
2.1%
Postoperative analgesia mainly opioid-based; regional techniques used
23%

Observational data: associations, not effects.

Original publication

Clinical practices in general anaesthesia for caesarean section: A nationwide cross-sectional survey. Eur J Anaesthesiol Intensive Care. Published 19 May 2026. doi:10.1097/ea9.0000000000000110

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