Endotracheal anesthesia in cesarean section

The article is professionally consulted by Master, Doctor Ta Quang Hung - Department of General Surgery - Vinmec Da Nang International General Hospital.

During endotracheal anesthesia, due to the effects of anesthetics, analgesics, and muscle relaxants, the patient will temporarily lose sensation and consciousness, unaffected by painful stimuli, ensuring muscle relaxation. Best for surgery. In other words, the patient will be asleep and unaware during the operation.

After the surgery is completed, the doctor will remove the endotracheal tube from the patient's body when the patient is fully awake and can perform some movements as requested by the doctor. Several methods of endotracheal intubation to perform anesthesia, including:
Oral endotracheal intubation method under anesthesia Method of endotracheal intubation under anesthesia Method of endotracheal intubation trachea through the mouth under anesthesia Method of endotracheal intubation through the nasal passage under anesthesia Method of endotracheal intubation using a flexible fiber bronchoscope Accordingly, the most commonly used method today is method of endotracheal intubation under general anesthesia.

Currently, according to the recommendations of the Ministry of Health, endotracheal anesthesia is indicated in high-risk cesarean section: pregnant women with severe pre-eclampsia, eclampsia, placental abruption, central placenta previa bleeding, In these women, the application of spinal anesthesia in cesarean section may have risks, even endanger the life of both the mother and the fetus.
For pregnant women with the above diseases, usually, doctors will prescribe endotracheal anesthesia instead of spinal anesthesia to ensure safety for both mother and fetus. . In fact, the replacement of anesthesia with general anesthesia in some cases of cesarean section by the Ministry of Health today, in order to remind medical facilities to be careful in choosing an anesthetic method in surgery. high-risk cesarean section.
With both methods above, there are specific contraindications for certain cases. Therefore, the anesthesiologist needs to know the history of the mother to know the health status of the mother in order to give the most appropriate option, which is spinal anesthesia or endotracheal anesthesia.

Endotracheal anesthesia in cesarean section will be indicated for some of the following cases:
The mother refuses or does not cooperate with the anesthetic method:
The mother refuses to be anesthetized. Pregnant women with severe neurological disorders. The mother is a mentally retarded patient. Pregnant women with diseases that are contraindicated to anesthetic methods:
Pregnant women with blood diseases: blood clotting disorders. Pregnant women with cardiovascular disease such as severe aortic stenosis, ... Pregnant women with Graves' disease have not been treated stably or have signs of thyroid storm. The mother has an infection at the anesthetic needle puncture site. Pregnant women with sepsis. Pregnant women with severe uncorrected circulatory collapse: bleeding due to retained placenta or uterine rupture, placenta previa, placenta previa, placenta previa, eclampsia, HELLP syndrome (this is an obstetric complication including hemolysis, elevated liver enzymes and decreased platelet count). Pregnant women with increased intracranial pressure. Pregnant women are allergic to anesthetics. Emergencies:
Emergency cases of fetal failure. Emergency case due to umbilical cord prolapse. Cases of anesthesia failure:
Anesthesia failed due to multiple needle punctures. Anesthesia failed due to lack of palpation of the spinal fissure. Pain occurs during surgery after anesthesia.

In addition to the indications for endotracheal anesthesia, doctors recommend the following cases not to use this method to avoid dangerous risks to the health of both mother and fetus.
The mother is suffering from acute laryngitis or has esophageal cancer The mother has advanced pulmonary tuberculosis. Pregnant women with gastrointestinal and upper respiratory tract infections. The facility does not have the necessary equipment and lacks experienced staff. Endotracheal anesthesia in cesarean section is a complicated technique and also carries many potential risks of complications, so to ensure the safety of the mother as well as the fetus, before performing this method, the doctor Anesthesiologists need to know the history and pathology of the mother and pregnant women should choose a reputable medical facility and a highly qualified doctor to perform this technique.
Vinmec International General Hospital system with its comprehensive level of expertise, facilities and professional service quality has very successfully performed surgical endotracheal anesthesia in caesarean sections. pregnant.
Endotracheal anesthesia in cesarean section at Vinmec has many advantages:
High success rate ≥ 95%, complication rate ≤ 5%, ensuring safety of cesarean section; contribute to the success of cesarean section with pathology. Modern operating room: Negative pressure operating room ensures high sterility, modern anesthesia machine system, monitoring machine for patients in surgery. Modern equipment to perform intubation techniques in pregnant women at risk of difficult airways: Intubation system with C-MAC video, intubation through flexible bronchoscope, emergency Etroley vehicle difficult intubation... Possessing anesthesiologists with extensive experience in Obstetric Anesthesia. Master. Doctor Ta Quang Hung has over 10 years of experience in teaching and practicing in the field of Anesthesia and Resuscitation. Currently, working as an Anesthesiologist, General Surgery Department - Vinmec Danang International General Hospital