A survey of current obstetric anaesthesia practice in Switzerland

Schneider, M.; Graber, Jerome; Thorin, D.; Castelanelli, S.

doi:10.1016/0959-289x(95)82912-t

Cited by 13 publications

(21 citation statements)

References 8 publications

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“…[1][2][3][4] The questionnaire was circulated at the Obstetric Section luncheon of the 1996 Canadian Anaesthetists' Society annual meeting and the results were used to improve the questionnaire. A revised questionnaire was then sent to all specialist anesthesiologist members of the Canadian Anaesthetists' Society residing in Canada in February 1997; non-responders were mailed a second questionnaire three months later.…”

Section: Methodsmentioning

confidence: 99%

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Obstetric anesthesia practice in Canada

Breen

McNeil

Dierenfield

2000

Can J Anesth/J Can Anesth

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Purpose: To describe obstetric anesthesia in Canada as practiced in 1997: to identify practices at variance with the literature and the opinions of experts: and to identify questions for future research.Methods: In 1997, a detailed postal questionnaire asking about the practice of obstetric anesthesia was mailed to all 1,539 specialist anesthesiologist members of the Canadian Anaesthetists' Society residing in Canada. Nonresponders were mailed a second questionnaire three months later.Results: There were 865 completed questionnaires returned for analysis (56.2%). Of these, 522 anesthesiologists practiced obstetric anesthesia (60.3%). The data were subdivided into those from anesthesiologists with a full or part-time university based practice (40.1%) and those from a community based practice (59.9%). University based and community-based anesthesiologists have very similar patterns of practice. Specific areas where anesthesia practice was different from current recommendations included: (1) information provided when obtaining consent for labour epidural analgesia, (2) use of opioids and local anesthetics for initiation of epidural analgesia, (3) use of coagulation testing in preeclampsia, (4) the common use of cutting spinal needles, (5) use of neuraxial morphine and nonsteroidal anti-inflammatory agents after Cesarean deliveries, (6) optimal treatment of neuraxial opioid side effects, (7) when to insert an endotracheal tube for general anesthesia after delivery, and (8) withdrawing epidural catheters through epidural needles.Conclusions: This survey presents reference data on the practice of obstetric anesthesia in Canada in 1997. Anesthesiologists with university affiliation have very similar practices to those without university affiliations.Objectif: Décrire l'anesthésie obstétricale pratiquée au Canada en 1997; identifier les pratiques qui diffèrent des pratiques documentées et des opinions d'experts et proposer des sujets de recherches ultérieures.Méthode : En 1997, un questionnaire détaillé sur la pratique de l'anesthésie obstétricale a été posté aux 1 539 anesthésiologistes membres de la Société canadienne des anesthésiologistes résidant au Canada. Trois mois plus tard, un second questionnaire a été posté à ceux qui n'avaient pas encore répondu.Résultats : Il y a eu 865 questionnaires remplis et analysés (56,2 %). De ce nombre, 522 provenaient d'anesthé-siologistes pratiquant l'anesthésie obstétricale (60,3 %). Les données ont été subdivisées selon le lieu de pratique, en milieu universitaire à temps complet ou partiel (40,1 %) ou en d'autres centres (59,9 %). Les modèles de pratique étaient très similaires. Certaines activités spécifiques différaient des recommandations courantes : 1) l'information fournie pour obtenir le consentement à l'analgésie épidurale pendant le travail, 2) l'usage d'opioïdes et d'anesthésiques locaux pour amorcer l'analgésie épidurale, 3) l'utilisation d'épreuve de coagulation en préé-clampsie, 4) l'usage courant d'aiguilles rachidiennes tranchantes, 5) l'administration neuraxiale...

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Section: Methodsmentioning

confidence: 99%

“…The extent to which new or changing ideas are reflected in practice is unknown. The purpose of this study was: (1) to describe obstetric anesthesia as practiced in Canada in 1997, (2) to identify practices at variance with the literature and the opinions of experts, and (3) to identify questions for future research.…”

mentioning

confidence: 99%

Obstetric anesthesia practice in Canada

Breen

McNeil

Dierenfield

2000

Can J Anesth/J Can Anesth

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“…3 Ce problème ne se limite pas à une seule province, mais est répandu partout au Canada et dans d'autres parties du monde. [4][5][6] Au Canada, la majorité des soins en anesthésie offerts dans les petits hôpitaux sont prodigués par des omnipraticiens anesthésiologistes qui font face à plusieurs problèmes notamment liés à l'épui-sement professionnel (être constamment de garde), au peu d'opportunités de développement professionnel continu (DPC), à l'incapacité de « s'éloigner » de leur pratique en raison du manque de remplaçants, et à une diminution du nombre de médecins désirant travailler dans les régions rurales. 3,4 Ces problèmes vont non seulement mener à la fermeture d'encore plus de petites unités obstétricales, mais ils vont également amener une plus grande réticence parmi les médecins de famille à travailler dans les régions éloi-gnées.…”

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“…3 This problem is not limited to one province; it is widespread across Canada and across other parts of the world. [4][5][6] In Canada, the majority of anesthetic care in small hospitals is provided by GPAs who face problems relating to burn-out (constantly ''on-call''), lack of access to continuing professional development (CPD) opportunities, an inability to ''get away'' from their practice due to a shortage of locums, and a decrease in the number of physicians wanting to work in rural areas. 3,4 Not only will these issues lead to a further closure of small obstetrical units, but they will also lead to a reluctance by new family physicians to practice in remote areas.…”

mentioning

confidence: 99%