Incidence, risk factors, management and outcomes of high neuraxial block in obstetric anaesthetic practice: a prospective national observational study using the <scp>UK</scp> Obstetric Surveillance System
Whilst high neuraxial block is rare in UK obstetric practice and generally managed well, directed attention to key aspects of clinical practice may ameliorate the risk. These include strategies to minimise acute supine hypotension with induction of spinal anaesthesia; prudent intrathecal local anaesthetic dosing; and careful case selection for converting epidural analgesia to anaesthesia for caesarean birth.
Authors
- Paul T. Sharpe (ORCID: https://orcid.org/0000-0003-2116-9561)
- D. N. Lucas (ORCID: https://orcid.org/0000-0001-8130-2067)
- Gary M. Stocks
- Marian Knight (ORCID: https://orcid.org/0000-0002-1984-4575)
- J. H. Bamber (ORCID: https://orcid.org/0000-0002-9141-7500)
Institutions
- Imperial College Healthcare NHS Trust (GB)
- London North West Healthcare NHS Trust (GB)
- University Hospitals of Leicester NHS Trust (GB)
- Cambridge University Hospitals NHS Foundation Trust (GB)
- University of Oxford (GB)
Publication Details
- Journal
- Anaesthesia
- Published
- 2025-09-24
- DOI
- https://doi.org/10.1111/anae.16752
- Citations
- 3
- Primary Topic
- Anesthesia and Pain Management
- Type
- article
- Field-Weighted Citation Impact
- 6.02