Inadequate neuraxial anaesthesia during caesarean delivery: a survey of practitioners
Authors' conclusion
Our study survey found that the consent process may not always be adequately comprehensive, and that standardised documentation and testing of the block and focused training may be beneficial to prevent patient dissatisfaction and the chance of litigation.
Study context
- Population
- Obstetric anaesthetic practitioners at the OAA 2021 Annual Scientific Meeting356 provided responses
- Participants
- 426 participants
- Outcome
- Knowledge, training, practices and attitudes regarding failed neuraxial anaesthesia for caesarean delivery
Methodological detailsinternational, survey, audience response system
- International
- Survey
- Audience response system
Main finding
As reported in the abstract
- Routinely inform patients of difference between pain and expected intra-operative sensations
- 320/327, 97.9%
- Inform patients of risk of intra-operative pain
- 204/260, 78.5%
- Inform patients of possible conversion to GA
- 290/309 93.8%
- Use written guidelines for follow-up of patients with intra-operative pain under neuraxial anaesthesia
- 30%
- Formal training in management of intra-operative pain under neuraxial anaesthesia
- 23%
- Routinely use three modalities (cold, motor block, light touch) to test block
- ≈65%
Observational data: associations, not effects.
Original publication
Inadequate neuraxial anaesthesia during caesarean delivery: a survey of practitioners. Int J Obstet Anesth. Published 8 June 2023. doi:10. 1016/ j. ijoa. 2023. 103905
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