Obstetric anesthesia

The role of supraglottic airway devices for caesarean section under general anaesthesia. A scoping literature review with a proposed algorithm for the appropriate use of supraglottic airway devices for caesarean sections

Eur J AnaesthesiolPublished Scoping literature review

Authors' conclusion

Growing evidence suggests that the use of second-generation SGA devices might be well tolerated as the primary method for securing the airway for caesarean sections requiring general anaesthesia, in selected patients with a low risk for aspiration and difficult intubation.

Study context

Population
Patients requiring caesarean section under GA with an SGA13 manuscripts
Participants
7,722 patients
Outcome
Outcomes of SGA use for caesarean section under GA:
  • Failed insertion
  • Pulmonary aspiration
  • Gastric regurgitation
Methodological detailsInitial search yielded 815 results, Searched Medline, Embase, PubMed, Emcare, Cochrane Library and CINAHL; full-text articles in English, Dutch and French; case reports and non-caesarean surgery excluded
  • Initial search yielded 815 results
  • Searched Medline, Embase, PubMed, Emcare, Cochrane Library and CINAHL; full-text articles in English, Dutch and French; case reports and non-caesarean surgery excluded

Main finding

As reported in the abstract

Failed insertion with conversion to tracheal intubation (first-generation SGA devices in these cases)

7

Pulmonary aspiration

0

Gastric regurgitation

1

Original publication

The role of supraglottic airway devices for caesarean section under general anaesthesia. A scoping literature review with a proposed algorithm for the appropriate use of supraglottic airway devices for caesarean sections. Eur J Anaesthesiol. Published 19 June 2024. doi:10.1097/eja.0000000000002024

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