Key points of anesthesia management for cesarean section under general anesthesia

First come to a general anesthesia cesarean section six mantras haha ​​remember or save general anesthesia cesarean section no longer worry about the principle of anesthesia implementation and management: A.
Assess and check the airway, ask about the history of anesthesia, medication, allergies and fasting water conditions,
etc.

 B.
Check for patency of the upper extremity venous access
.

 C.
Monitoring measures include ECG, blood pressure, pulse oximetry, and end-tidal carbon dioxide monitoring
.

Prepare for difficult airway intubation
.

Prepare a suction device, a short-stemmed laryngoscope, a 6.
0-7.
0-gauge tracheal tube, and equipment to prevent failure of tracheal intubation
.

 D.
Intubation is optional for rapid sequential induction
.

E.
Inhale pure oxygen for 3 to 5 minutes before induction, or inhale deeply for 5 to 8 times (5 to 6 L/min)
.

 F.
Start anesthesia induction after all surgical measures (such as disinfection, drape, etc.
) are ready
.

 G.
Use rapid sequential induction: intravenous propofol 1.
5-2.
5 mg/kg plus 1.
0-1.
5 mg/kg succinylcholine or rocuronium 0.
6-1.
0 mg/kg
.

If the hemodynamics are unstable, 0.
2-0.
3 mg/kg etomidate or 1-1.
5 mg/kg ketamine can also be administered intravenously
.

Maternal muscle relaxants receiving magnesium sulfate treatment should be appropriately reduced
.

 H.
Anesthesia maintenance can be maintained by inhalation anesthesia or combined intravenous inhalation anesthesia
.

 I.
Avoid hyperventilation to prevent fetal acidosis
.

 J.
After the fetus is removed, opioid analgesics such as fentanyl or sufentanil can be added appropriately
.

Reduce the concentration of inhalation anesthetics so as not to interfere with uterine contractions