External cephalic version
From WikiAnesthesia
External cephalic version
| Anesthesia type |
None or epidural/CSE |
|---|---|
| Airway |
Natural |
| Lines and access |
1 PIV |
| Monitors |
Standard OB bedside monitors (EKG, pulse ox, NIBP, fetal HR monitoring) |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
An external cephalic version is a maneuver performed by obstetric physicians to rotate a baby into vertex position in preparation for vaginal delivery.
Overview
Indications
- Breech or transverse presentation
- Ideally around 36-37 weeks gestation before the baby is too large
Surgical procedure
The maneuver can be performed at bedside using external force on the abdomen to rotate the baby. Ultrasound is used to confirm head position before, during, and after the maneuver. Fetal heart rate monitoring is used to closely monitor for fetal distress
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Indications | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Tony Wang