Regional versus general anaesthesia for caesarean section

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Afolabi, B.B.
Lesi, F.E.A.
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Cochrane Database Syst Rev
Regional anaesthesia (RA) and general anaesthesia (GA) are commonly used for caesarean section (CS) and both have advantages and disadvantages. It is important to clarify what type of anaesthesia is more efficacious. Objectives To compare the effects of RA with those of GA on the outcomes of CS. Search methods We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (30 November 2011). We updated the search on 20 August 2012 and added the results to the awaiting classification section of the review. Selection criteria Randomised and quasi-randomised controlled trials evaluating the use of RA and GA in women who had CS for any indication. Cluster-randomised trials and trials using a cross-over design are not included. Data collection and analysis Two review authors independently assessed trials for inclusion, assessed risk of bias and extracted data. Data were checked for accuracy. Main results Twenty-two out of 29 included studies (1793 women) contributed data to this review. The included studies did not report some our primary outcomes: maternal death, incidence of maternal postoperative wound infection, maternal postoperative other infection such as endometritis and urinary tract infection, neonatal death.
Afolabi BB, Lesi FE. Regional versus general anaesthesia for caesarean section. Cochrane Database Syst Rev. 2012 Oct 17;10:CD004350. doi: 10.1002/14651858.CD004350.pub3. Review. PubMed PMID: 23076903