Conversion to general anesthesia and intravenous supplementation during intrapartum cesarean delivery with an indwelling epidural catheter: a retrospective study
Authors' conclusion
In our tertiary academic center, the rate of intraoperative conversion to general anesthesia and administration of analgesic/sedative medication among women undergoing intrapartum cesarean delivery with epidural anesthesia was relatively high. Emergency cesarean delivery was not associated with either of the above endpoints.
Study context
- Population
- Women undergoing intrapartum cesarean delivery with an indwelling labour epidural catheter, January 2017–June 2022
- Participants
- 1,192 women
- Outcome
- Conversion rate to GA and associated risk factors
Methodological detailssingle-centre, tertiary academic centre
- Single-centre
- Tertiary academic centre
Main finding
As reported in the abstract
Conversion to GA
Conversion to GA, cases
97
8.1%
Of conversions, due to failed epidural
87
89.7%
Observational data: associations, not effects.
Further findings
IV analgesic/sedative supplementation (cases not converted to GA)
- IV analgesic/sedative supplementation, cases
- 141 (12.9%)
- Higher age associated with decreased odds and longer surgical time with increased odds of supplementation
Original publication
Conversion to general anesthesia and intravenous supplementation during intrapartum cesarean delivery with an indwelling epidural catheter: a retrospective study. Reg Anesth Pain Med. Published 14 July 2024. doi:10.
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