Τίτλος:
Current practice in obstetric anesthesia and analgesia in public hospitals of greece: a 2016 national survey
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Staikou, C.
Μakris, A.
Theodoraki, K.
Τsaroucha, A.
Douma, A.
Μoka, E.
Αrnaoutoglou, E.
Paraskevopoulos, T.
Siafaka, I.
Stavropoulou, E.
Αrgyra, E.
Περιοδικό:
BALKAN MEDICAL JOURNAL
Εκδότης:
Galenos Publishing House
Λέξεις-κλειδιά:
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
DOI:
10.4274/balkanmedj.2018.0083
