{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:45:12Z","timestamp":1791776712165,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":102,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Total intravenous anaesthesia is a core safety standard for absolute indications, such as malignant hyperthermia susceptibility, yet little is known about institutional readiness to deliver total intravenous anaesthesia for obstetric patients. We conducted a national cross\u2010sectional service evaluation of all 19 Irish maternity units via the Irish Society of Obstetric Anaesthesia network. Responses were received from 13\/19\u2009units, representing over 80% of the national birth activity. Most units (8\/13) reported reliable access to target\u2010controlled infusion pumps and processed electroencephalography monitoring (12\/13), but 5\/13 had fewer than one target\u2010controlled infusion pump per obstetric theatre and 4\/13 lacked an immediate backup pump. No unit had a written protocol for obstetric total intravenous anaesthesia, and 7\/13 reported no resident training. Reported total intravenous anaesthesia use for obstetric general anaesthesia was low (0% in 8\/13\u2009units). Lack of exposure (11\/13) and institutional preference for volatile agents (10\/13) were the most common barriers. Readiness to deliver total intravenous anaesthesia for obstetric patients without delay is variable across Irish maternity units. Given that total intravenous anaesthesia remains mandatory in certain high\u2010risk patient groups, including those susceptible to malignant hyperthermia, deficiencies in equipment redundancy, monitoring, training and governance are patient safety concerns which should be addressed.<\/jats:p>","DOI":"10.1002\/anr3.70111","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T02:55:48Z","timestamp":1791773748000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Institutional readiness to deliver total intravenous anaesthesia for obstetric patients: a national Irish survey"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1740-8908","authenticated-orcid":false,"given":"C.","family":"O'Loughlin","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Rotunda Maternity Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. F.","family":"O'Carroll","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia National Maternity Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2536-616X","authenticated-orcid":false,"given":"R.","family":"Kearsley","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Rotunda Maternity Hospital  Dublin Ireland"},{"name":"Royal College of Surgeons  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkv074"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15989"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871\u2010018\u20100632\u20103"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31824f6940"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540\u2010013\u20101656\u2010y"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd012317.pub2"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11226741"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630\u2010014\u20100118\u20109"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15317"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12248"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14428"},{"key":"e_1_2_6_13_1","unstructured":"European Malignant Hyperthermia Group.Malignant hyperthermia during pregnancy.2026.https:\/\/www.emhg.org\/recommendations\u20101\/mh\u2010during\u2010pregnancy(accessed 10\/07\/2026)."},{"key":"e_1_2_6_14_1","unstructured":"Malignant Hyperthermia Association of the United States.Parturient with MHS partner.2012.https:\/\/www.mhaus.org\/healthcare\u2010professionals\/mhaus\u2010recommendations\/parturient\u2010with\u2010mhs\u2010partner\/(accessed 10\/07\/2026)."},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2020.03.003"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2022.103548"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/anr3.12293"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12826"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2024.08.002"},{"key":"e_1_2_6_20_1","unstructured":"Worcestershire Acute Hospitals NHS Trust.Total intravenous anaesthetic (TIVA) for the obstetric population.2023.https:\/\/apps.worcsacute.nhs.uk\/KeyDocumentPortal\/Home\/DownloadFile\/3877(accessed 11\/06\/2026)."},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16613"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.70078"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14207234"},{"key":"e_1_2_6_24_1","unstructured":"National Women and Infants Health Programme Health Service Executive.Irish Maternity Indicator System (IMIS) National Report 2024.2025.https:\/\/about.hse.ie\/publications\/irish\u2010maternity\u2010indicator\u2010system\u2010national\u2010report\u20102024\/(accessed 11\/06\/2026)."}],"container-title":["Anaesthesia 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