geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Caesarean sections under regional anesthesia: pros and cons of supplementary oxygen


, : Caesarean sections under regional anesthesia: pros and cons of supplementary oxygen. Der Anaesthesist 62(3): 201-212

The routine administration of supplemental oxygen to women undergoing elective caesarean section under regional anesthesia in order to optimize oxygen supply to the fetus is common anesthetic practice in many German hospitals. However, this practice has been controversially discussed in the non-German literature for many years. This review presents and discusses the pros and cons of routinely providing supplemental oxygen to a parturient during caesarean section on the basis of the literature published over the last 30 years. Proponents of routine oxygen administration point to potential and unforeseeable risks of caesarean sections and consider the prophylactic administration of oxygen based on physiological considerations to be advantageous in terms of patient safety. Interestingly, data regarding the effects of an increased maternal FIO2 on improvement of fetal oxygenation are inconsistent, therefore, no unambiguous recommendation concerning which FIO2 to choose can be given. Opponents of routine oxygen supplementation allude above all to an increase in free radical activity in both mother and fetus; however, data in this respect are not consistent either. As supplemental oxygen to patients undergoing elective caesarean section without any risk factors under regional anesthesia is associated with potential risks while no advantage has so far been demonstrated, routine administration of oxygen has to be challenged and is no longer considered to be indicated by many. On the contrary, in cases of emergency with a concomitant risk of hypoxia for mother and fetus, administration of oxygen is indispensable in the light of present data.

US$19.90

PMID: 23392217

DOI: 10.1007/s00101-012-2129-7


Other references

Rouse G.E.; Mathews W.H., 1989: Palynology of subsurface Cenozoic sediments and pyroclastic rocks southwest of Vanderhoof, British Columbia (93F/ 10, 16). Paper - Ministry of Energy, Mines and Petroleum Resources 1989-1: 189-193

Marcinkiewicz, A.; Szosland, D., 2007: Postepowanie orzecznicze u kierowcow chorych na cukrzyce w wybranych krajach Unii Europejskiej. There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety; in which diabetes could have a particularly important and dangerous impact. In Eu...

Mancini, G.; Donatelli, I.; Arangio-Ruiz, G.; Rozera, C.; Macchia, T., 1983: Comparison of haemagglutination-inhibition and single radial haemolysis techniques for detecting antibodies to influenza A and B viruses. The sensitivities of haemagglutination-inhibition (HI) and single radial haemolysis (SRH) techniques in detecting antibodies against influenza A/Bangkok/1/79, A/Brazil/11/78, B/Singapore/222/79, B/Hong Kong/5/72 strains, in human sera were compare...

Hoffstein, V.; Carlen, P.; Thomas, H.; Taylor, R.; D.B.rry, L., 1987: Pulmonary function in smokers after short-term cessation of alcohol ingestion. To test whether acute alcohol withdrawal has an effect on pulmonary function, we studied 33 smoking alcoholics admitted for a four-week period of rehabilitation during which they consumed no alcohol. Flow-volume curves, lung volumes by body plethy...

Bernstein, C., 1987: On assessing the role of spatially-heterogenous density-independent host mortality on the stability of host-parasitoid systems. Oikos, 492: 236-239

Alban, L.; Lawson, L.G.; Agger, J.F., 1995: Foul in the foot (interdigital necrobacillosis) in Danish dairy cows - frequency and possible risk factors. 9520 Danish dairy cows from 171 herds from Ringkobing County were included in a retrospective longitudinal study. Information was collected between January 1990 and December 1991. The cow's incidence risk of foul in the foot was 0.6% during t...

Woo, B.-Myeong; Lee, K.-Joon; Choi, H.-Tae; Lee, S.-Ho; Park, J.-Won; Wang, L.; Zhang, K.; Sun, B., 2001: Studies on the desertification combating and sand industry development(IV): Technology development for sanddune fixation and sandy land conservation in China. This study is aimed to analyze and to evaluate the technology development for sanddune fixation and sandy land conservation in China, resulting from the project of "Studies on the desertification combating and sand industry development"....

Anonymous, 1986: Long-gap esophageal atresia. Progress in Pediatric Surgery 19: 1-126

Kosmadakis, G.; D.C.sta Correia, E.; Somda, F.; Aube-Chetrus, N.; Bros, C.; Aguilera, D., 2016: Where Is the Kidney? Anterolateral Approach to Percutaneous Ultrasound-guided Renal Biopsy of an Ectopic Kidney. Nephrology 21(2): 160-161

Manning, W.D.; Brown, S.L., 2015: Aging Cohabiting Couples and Family Policy: Different-Sex and Same-Sex Couples. Public Policy and Aging Report 25(3): 94-97