Anesthesiology pp 487-496 | Cite as

Anesthesia for Cesarean Delivery

  • Carrie M. PolinEmail author
  • Ashley A. Hambright
  • Patrick O. McConville


Cesarean sections are the most common surgery worldwide. Single shot spinal anesthesia is the most utilized method for providing anesthesia for scheduled cesarean sections. Epidural catheters are most commonly used for unplanned cesarean sections when patients present from the labor and delivery floor requiring an abdominal delivery. General anesthesia for cesarean sections may be necessary due to contraindications to neuraxial anesthesia, patient preference, or time constraints. Complications from regional anesthesia include: maternal hypotension, failed or total spinal, local anesthetic systemic toxicity, post dural puncture headache, and neurologic injury. Anesthesia related maternal mortality is highest during cesarean delivery under general anesthesia secondary to failed intubation, inadequate oxygenation, inadequate ventilation, or pulmonary aspiration. Cesarean delivery under general anesthesia also has a high risk for intraoperative awareness. Table 51.1 provides a summary of anesthesia considerations in patients undergoing cesarean delivery.


Cesarean delivery Spinal Epidural Local anesthetic systemic toxicity Postdural puncture headache 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Carrie M. Polin
    • 1
    Email author
  • Ashley A. Hambright
    • 1
  • Patrick O. McConville
    • 1
  1. 1.Department of AnesthesiologyUniversity of Tennessee Medical CenterKnoxvilleUSA

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