Incidence and clinical impact of aspiration during cesarean delivery: A multi-center retrospective study
Authors' conclusion
Our findings provide another contemporary analysis of aspiration rates in obstetric patients, highlighting increased risks during the management of difficult airways during general anesthesia and deep sedation associated with neuraxial anesthesia.
Study context
- Population
- Cesarean deliveries at two large tertiary medical centers in Israel
- Participants
- 48,609 cesarean deliveries
- Exposure
- GA vs neuraxial anaesthesia for cesarean delivery
- General anesthesian = 22,690
- Outcome
- Incidence of potentially severe aspiration during cesarean delivery
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Incidence of aspiration
General anesthesia
1 in 11,345
patients
Neuraxial anesthesia
1 in 25,929
patients
- ICU admissions for suspected pulmonary aspiration
- 3
- Cases during induction of GA for emergency cesarean with difficult intubation
- 2
- Case under deep sedation during spinal anesthesia
- 1
Observational data: associations, not effects.
Further findings
- Deaths due to aspiration
- 0
Original publication
Incidence and clinical impact of aspiration during cesarean delivery: A multi-center retrospective study. Anaesth Crit Care Pain Med. Published 24 January 2024. doi:10.
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