Table 3.
General anaesthesia–characteristics of elective and emergency caesarean sections
| Czech Republic | Slovakia | |||
|---|---|---|---|---|
| Elective CS | Emergency CS | Elective CS | Emergency CS | |
| N = 154 | N = 383 | N = 89 | N = 127 | |
| Positioning before induction to general anaesthesia | ||||
| Anti-Trendelenburg position | 17.7% | 15.9% | 14.6% | 15.0% |
| Tilted to the left side | 20.6% | 21.0% | 15.9% | 20.8% |
| No positioning/supine | 61.7% | 63.1% | 69.5% | 64.2% |
| Airway management | ||||
| Rapid sequence induction | 87.8% | 96.5% | 96.6% | 98.4% |
| Sellick’s manoeuvre | 10.6% | 28.1% | 4.9% | 34.0% |
| Orotracheal intubation | 99.4% | 99.5% | 98.9% | 100.0% |
| Laryngeal mask | 0.6% | 0.5% | 1.1% | 0 |
| Airway management—complications | ||||
| Difficult intubation | 2.6% | 1.6% | 2.2% | 0.8% |
| Regurgitation | 0 | 0.8% | 0 | 0.8% |
| Aspiration | 0 | 0 | 0 | 0 |
| Desaturation (< 90%) | 3.2% | 0.5% | 0 | 0 |
| Other | 1.3% | 0 | 0 | 0 |
| Induction to anaesthesia | ||||
| Thiopental | 41.6% | 37.6% | 24.7% | 32.3% |
| Propofol | 53.9% | 60.8% | 75.3% | 66.1% |
| Etomidate | 1.3% | 0.3% | 0 | 0 |
| Other/unspecified | 3.2% | 1.3% | 0 | 0 |
| Suxamethonium | 94.2% | 97.4% | 94.4% | 95.3% |
| Rocuronium | 3.6% | 2.3% | 2.2% | 3.1% |
| Other/unspecified | 2.2% | 0.3% | 3.4% | 1.6% |
| Sufentanil | 5.8% | 7.6% | 3.4% | 6.3% |
| Remifentanil | 0 | 0 | 0 | 0.8% |
| Ketamine | 4.5% | 5.7% | 1.1% | 0 |
| Inhalation anaesthetics | ||||
| None | 5.2% | 6.0% | 11.2% | 22.8% |
| Nitrous oxide | 31.8% | 33.2% | 23.6% | 17.3% |
| Sevoflurane | 85.7% | 90.6% | 74.2% | 88.2% |
| Desflurane | 2.6% | 1.3% | 0 | 0 |
Data are in %. Emergency caesarean deliveries include urgency categories 1–3 according to the widely used Lucas classification [10]. Categories are not mutually exclusive; inhalational agents may have been used in combination. CS caesarean section