title: [Anesthesia in obstetrics: Tried and trusted methods, current standards and new challenges].
abstract: Obstetric analgesia and anesthesia have some specific aspects, which in particular are directly related to pathophysiological alterations during pregnancy and also to the circumstance that two or even more individuals are always affected by complications or therapeutic measures. This review article deals with some evergreens and hot topics of obstetric anesthesia and essential new knowledge on these aspects is described. The article summarizes the talks given at the 16th symposium on obstetric anesthesia organized by the Scientific Committee for Regional Anaesthesia and Obstetric Anaesthesia within the German Society of Anaesthesiology. The topics are in particular, special features and pitfalls of informed consent in the delivery room, challenges in education and training in obstetric anesthesia, expedient inclusion of simulation-assisted training and further education on risk minimization, knowledge and recommendations on fasting for the delivery room and cesarean sections, monitoring in obstetric anesthesia by neuraxial and alternative procedures, the possibilities and limitations of using ultrasound for lumbal epidural catheter positioning in the delivery room, recommended approaches in preparing peridural catheters for cesarean section, basic principles of cardiotocography, postoperative analgesia after cesarean section, the practice of early bonding in the delivery room during cesarean section births and the management of postpartum hemorrhage.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie, Zentrum Operative Medizin, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland. kranke_p@ukw.de.
authors.forename: P
authors.initials: P
authors.lastname: Kranke
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln, Köln, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Annecke
authors.affiliation: Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Agaplesion Frankfurter Diakonie Kliniken gGmbH, Agaplesion Markus Krankenhaus, Frankfurt a. M., Deutschland.
authors.forename: D H
authors.initials: DH
authors.lastname: Bremerich
authors.affiliation: Klinik für Anästhesiologie und Schmerztherapie, HELIOS Klinikum, Bad Saarow, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Hanß
authors.affiliation: Klinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Kaufner
authors.affiliation: Klinik für Geburtsmedizin, Campus-Virchow-Klinikum, Universitätsmedizin Berlin, Berlin, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Klapp
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Hostein, Campus Kiel, Kiel, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Ohnesorge
authors.affiliation: Klinik für Anästhesiologie und Intensivmedizin, Kliniken des Landkreises Neumarkt i. d. OPf., Neumarkt i. d. OPf., Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Schwemmer
authors.affiliation: Klinik für Anästhesie, Operative Intensiv- und Palliativmedizin, Städtisches Klinikum Solingen gGmbH, Akademisches Lehrkrankenhaus der Universität zu Köln, Solingen, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Standl
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Weber
authors.affiliation: Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Homburg/Saar, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Volk
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical / Q000592:standards* / Q000639:trends*; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009774:Obstetrics / Q000592:standards* / Q000639:trends*; D061214:Patient Safety; D011247:Pregnancy
keywords: Analgesia; Birth; Cesarean section; Patient safety; Simulation