Anaesthetic management for acute foetal distress

The application and documentation of foetal surveillance in labour that will decrease the incidence of birth asphyxia while maintaining the lowest possible rate of obstetrical intervention remains discussed. The occurrence of abnormal foetal heart rate is a frequent indication for urgent Caesarean section and subsequent associated risks. Prevention, early recognition, and prompt intervention are the keys to minimizing the risks of anaesthetic mortality and morbidity, mainly from general anaesthesia. Definitions of safe standards of equipment and practices to prevent Mendelson's syndrome and to cope with a failed intubation drill are of major importance. Comprehensive communication between well-coordinated anaesthetic and obstetrical teams is one of the most important elements in the care of a compromised foetus. (c) 2007 Elsevier Masson SAS. Tous droits reserves.