GA - Caesarian Section

Acid aspiration prophylaxis...

Emergency case:
* If Ranitidine not administered during the labour, give 50 mg I.V. immediately.
   Diluted into 20 ml saline
* 10 mg Metoclopramide I.V.
* 30 ml oral Sodium Citrate immediately before intubation.

Elective case:
* Ranitidine 150 mg, oral, the night before.
* Ranitidine 150 mg and Metoclopramide 10 mg, oral, 2-4 hours before the procedure.
* 30 ml of 0.3 M Sodium Citrate, oral, immediately before intubation.

Failed Intubation


Note: 2 ml of i.v. 1:1,000 Salbutomol, acts as antagonist (relaxes uteris) of Syntocinon when eg, doing a manual removal of placenta (gives more space for surgeon).

After all deliveries...
* Consider NG tube to drain stomach
* Make oxygen cylinder/hudson mask available