Anesthesia for Cesarean Delivery in the Czech Republic: A 2011 National Survey
2016
BACKGROUND: The purpose of this national survey was to
determine current anesthesia practices for cesarean delivery in
the Czech Republic. METHODS: In November 2011, we invited all
departments of obstetric anesthesia in the Czech Republic to
participate in a prospective study to monitor consecutive
peripartum obstetric anesthesia procedures. Data were recorded
online in the TrialDB database (Yale University, New Haven,
CT). RESULTS: The response rate was 51% (49 of 97 departments);
participating centers represented 60% of all births in the
country during the study period. There were 1943 cases of
peripartum anesthesia care, of which 1166 cases (60%) were
anesthesia for cesarean delivery. Estimates were weighted based
on population distribution of cesarean delivery among types of
participating centers. Neuraxial anesthesia was used in 55.6%
(95% confidence interval [CI], 52.8%–58.5%); the distribution
of anesthesia techniques differed among type of participating
center. The rate of neuraxial anesthesia in university
hospitals was 55.6% (95% CI, 51.5%–59.6%), 32.4% (95% CI,
26.4%–39.0%) in regional hospitals, and 60.7% (95% CI,
55.2%–66.0%) in local hospitals. The reasons for cesarean
delivery under general anesthesia were emergency procedure
(67%), refusal of neuraxial blockade by parturient (30%),
failure of neuraxial anesthesia (6%), and preoperative
administration of low-molecular-weight heparin (3%).
Postcesarean analgesia was primarily provided by systemic
opioid (66%) and nonopioid analgesics (61%), solely or in
combination. Epidural postoperative analgesia was used in 14%
of cases. Compared with national neuraxial anesthesia rate data
published in the 1990s (6.7% in 1993), there has been an upward
trend in the use of neuraxial anesthesia for cesarean delivery
during the 21st century (40.5% in 2000) in the Czech Republic.
CONCLUSIONS: The rate of neuraxial anesthesia use for cesarean
delivery has increased in the Czech Republic in the last 2
decades.
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
0
References
0
Citations
NaN
KQI