title: Caesarean section under local anaesthesia: back to basics.
abstract: Caesarean section under local anaesthesia (CSLA) was performed on a patient with a diagnosis of gravida 2 para 1 living 1, with eight months amenorrhea and uncontrolled, refractory, complicated eclampsia with intrauterine fetal demise and a previous lower segment Caesarean section. As she was at very high risk (ASA Grade III) for main stream anaesthesia, i.e. general/regional, lidocaine (0.5%) was used. CSLA should not be seen as a primitive/retrograde step. Instead, it should be considered to be a life-saving procedure, especially for women in rural India. Anaesthetists are not dispensable but with them on standby one can avoid mainstream anaesthesia complications in high-risk patients.
authors.affiliation: Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai, Maharashtra, India. contactgshinde@gmail.com
authors.forename: Ganesh
authors.initials: G
authors.lastname: Shinde
authors.forename: Neha
authors.initials: N
authors.lastname: Sharma
authors.forename: Balaji
authors.initials: B
authors.lastname: Jadhav
authors.forename: Pooja
authors.initials: P
authors.lastname: Jaisal
mesh_terms: D000328:Adult; D000772:Anesthesia, Local / Q000379:methods*; D002585:Cesarean Section; D004461:Eclampsia; D005260:Female; D006801:Humans; D007194:India; D008012:Lidocaine / Q000627:therapeutic use*; D011247:Pregnancy; D011248:Pregnancy Complications; D050497:Stillbirth
chemical_list: D008012:Lidocaine