TY - JOUR
TI - Current practice in obstetric anesthesia and analgesia in public hospitals of greece: a 2016 national survey
AU - Staikou, C.
AU - Μakris, A.
AU - Theodoraki, K.
AU - Τsaroucha, A.
AU - Douma, A.
AU - Μoka, E.
AU - Αrnaoutoglou, E.
AU - Paraskevopoulos, T.
AU - Siafaka, I.
AU - Stavropoulou, E.
AU - Αrgyra, E.
JO - BALKAN MEDICAL JOURNAL
PY - 2018
VL - 35
TODO - 5
SP - 394-397
PB - Galenos Publishing House
SN - null
TODO - 10.4274/balkanmedj.2018.0083
TODO - opiate;  paracetamol;  pethidine;  remifentanil, Article;  cesarean section;  clinical practice;  descriptive research;  epidural anesthesia;  geographic distribution;  Greece;  health care survey;  human;  obstetric analgesia;  obstetric anesthesia;  public hospital;  regional anesthesia;  spinal anesthesia;  vaginal delivery;  analgesia;  female;  Greece;  health care survey;  labor pain;  obstetric analgesia;  obstetric anesthesia;  obstetric delivery;  pregnancy;  procedures;  public hospital;  statistics and numerical data, Analgesia, Obstetrical;  Anesthesia, Obstetrical;  Delivery, Obstetric;  Female;  Greece;  Health Care Surveys;  Hospitals, Public;  Humans;  Labor Pain;  Pain Management;  Pregnancy
TODO - Aims: This descriptive survey was to evaluate the use of regional anesthesia in obstetrics in Greek public hospitals. Methods: The survey was conducted between March and August 2016. A structured questionnaire was sent to 50 anesthesia departments in Greek public hospitals with obstetric units. Results: The response rate was 94%. Data corresponding to 9475 cesarean and 8155 vaginal deliveries were collected. Regional anesthesia was used in 69.2% of all cesareans, with single shot spinal being the most popular (44.3% of all cesareans). Combined spinal-epidural anesthesia was used in 18.1% of all cesareans (35.1% in hospitals of Athens versus 7.9% outside Athens, p<0.001). Postcesarean analgesia was applied with simple analgesics and systematic opioids (78.6%). Long-acting spinal opioids were rarely used (4.4% of spinal and spinal/epidurals). Labor epidural analgesia was applied in 19.1% of all vaginal deliveries (30.3% in Athens versus 13.1% outside Athens, p<0.001). Paracetamol and pethidine represented the standard labor analgesics in 48.9% and 55.3% of all hospitals. Intravenous remifentanil was used in 10.6% of hospitals (50% in Athens versus 2.5% outside Athens, p=0.002). In 48.9% of hospitals, mainly outside Athens, the anesthesiologists did not get involved in labor analgesia. Conclusion: Regional anesthesia is the most common practice for cesareans in Greek public hospitals; however, the percentage of general anesthesia remains high. In addition, the use of labor epidural analgesia is limited in hospitals outside Athens. © 2018, Galenos Publishing House. All rights reserved.
ER -