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Choice of Anesthesia for Cesarean Delivery: An Analysis of the National Anesthesia Clinical Outcomes Registry

Juang, Jeremy MD, PhD*†; Gabriel, Rodney A. MD; Dutton, Richard P. MD, MBA§; Palanisamy, Arvind MBBS, MD, FRCA*†; Urman, Richard D. MD, MBA*†

doi: 10.1213/ANE.0000000000001677
Obstetric Anesthesiology: Brief Report

Neuraxial anesthesia use in cesarean deliveries (CDs) has been rising since the 1980s, whereas general anesthesia (GA) use has been declining. In this brief report we analyzed recent obstetric anesthesia practice patterns using National Anesthesiology Clinical Outcomes Registry data. Approximately 218,285 CD cases were identified between 2010 and 2015. GA was used in 5.8% of all CDs and 14.6% of emergent CDs. Higher rates of GA use were observed in CDs performed in university hospitals, after hours and on weekends, and on patients who were American Society of Anesthesiologists class III or higher and 18 years of age or younger.

Published ahead of print January 16, 2017.

From the *Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Department of Anesthesiology, University of California, San Diego; and §US Anesthesia Partners, Dallas, Texas.

Published ahead of print January 16, 2017.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Reprints will not be available from the authors.

Address correspondence to Richard D. Urman, MD, MBA, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital; and Harvard Medical School, 75 Francis St, CWN L1, Boston, MA 02115. Address e-mail to

© 2017 International Anesthesia Research Society
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