RT Book, Section A1 Kowalczyk, John J. A2 Hess, Philip E. A2 Li, Yunping A2 Kowalczyk, John J. A2 Stiles, Justin K. SR Print(0) ID 1199674111 T1 General Anesthesia for Cesarean Delivery T2 Obstetric Anesthesia: Quick References & Practical Guides YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781264671465 LK obgyn.mhmedical.com/content.aspx?aid=1199674111 RD 2024/03/29 AB General anesthesia (GA) has largely been replaced by neuraxial due to decreased maternal mortality and morbidity and improved fetal outcomes (Chapter 47, “Neuraxial Anesthesia for Cesarean Delivery”).Indications:Maternal refusal of neuraxial anesthesia.Severe psychiatric or developmental disorder.Coagulopathy.Local infection at the neuraxial site.Severe, uncorrected hypovolemia.Intracranial mass with increased intracranial pressure.Failure of the neuraxial block to rise in urgent or emergent cesarean.Umbilical cord prolapse with persistent fetal bradycardia.Incomplete coverage of spinal anesthesia.Multiple failed neuraxial placements.Persistent intraoperative pain that is uncontrolled.STAT or urgent intrapartum indications for GA should involve constant communication between the obstetrician and anesthesiologist. This ensures a continued need for GA and updates everyone on the current steps in the ongoing process.