title: Choice of Anesthesia for Cesarean Delivery: An Analysis of the National Anesthesia Clinical Outcomes Registry.
abstract: 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.
authors.affiliation: 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.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Juang
authors.forename: Rodney A
authors.initials: RA
authors.lastname: Gabriel
authors.forename: Richard P
authors.initials: RP
authors.lastname: Dutton
authors.forename: Arvind
authors.initials: A
authors.lastname: Palanisamy
authors.forename: Richard D
authors.initials: RD
authors.lastname: Urman
mesh_terms: D000293:Adolescent; D000328:Adult; D039602:After-Hours Care / Q000639:trends; D000768:Anesthesia, General / Q000009:adverse effects / Q000639:trends*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects / Q000379:methods / Q000639:trends*; D002585:Cesarean Section; D000066491:Clinical Decision-Making; D005260:Female; D006785:Hospitals, University / Q000639:trends; D006801:Humans; D008423:Maternal Age; D009407:Nerve Block / Q000009:adverse effects / Q000639:trends*; D018579:Patient Selection; D010818:Practice Patterns, Physicians' / Q000639:trends*; D011247:Pregnancy; D012042:Registries; D012307:Risk Factors; D013997:Time Factors; D014481:United States; D055815:Young Adult