Obstetric anesthesia

Inadequate neuraxial anaesthesia during caesarean delivery: a survey of practitioners

Int J Obstet AnesthPublished Cross-sectional study

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.