Complications associated with regional anaesthesia for Caesarean section

Lamacraft, Gillian

doi:10.1080/22201173.2004.10872346

Cited by 8 publications

(8 citation statements)

References 47 publications

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“…Spinal anesthesia is a type of regional anesthesia that has been practiced for obstetric anesthesia since the beginning of the 20 th century. Nowadays regional anesthesia has become the most preferred method for cesarean section because of its simplicity and rapid onset along with maternal comfort and safety [ 2 ]. In Ethiopia, the prevalence of cesarean section was 32.5% and 68.2% CS was done by using spinal anesthesia [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia

et al. 2020

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Background Spinal anesthesia is a type of regional anesthesia that has been practicing for obstetric anesthesia since the beginning of the 20th century. Despite the simplicity and lower maternal mortality risk, compared to general anesthesia, spinal anesthesia is linked to different adverse effects, of which hypotension is the most common complication. The main aim of this study was to determine the incidence and associated factors of hypotension after spinal anesthesia during cesarean section. Method Institution-based cross-sectional study was conducted with 410 clients. The study was conducted on cesarean section under spinal anesthesia from 5 th January to 30 th April 2019, at the Gandhi Memorial Hospital, Addis Ababa, Ethiopia. Both bivariable and multivariable logistic regression analysis were done on the associated factors. The level of statistical significance was represented at p<0.05. Results The incidence of hypotension among mothers who underwent a cesarean section after spinal anesthesia was 64%. Newborn weight ≥4kg (AOR = 5.373; 95%CI: (1.627–17.740)) showed an increase risk of association with hypotension. A baseline systolic blood pressure < 120mmHg (AOR = 6.293; (95%CI: 2.999–13.204)) was found to be associated with increased risk of hypotension. Sensory block height >T6 AOR = 2.230; 95%CI: (1.329–3.741), the time interval between spinal induction and skin incision > 6minutes AOR = 1.803; 95%CI: (1.044–3.114) and anesthetist experience AOR = 5.033(95%CI: 2.144–11.818) were also associated with hypotension. Conclusion The identified risk factors for hypotension, after spinal anesthesia are sensory height block, weight of the baby, the time interval between spinal induction and skin incision, baseline systolic blood pressure, and anesthetist experience.

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Section: Introductionmentioning

confidence: 99%

Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia

et al. 2020

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“…There are several reports of failed spinal in literature. [2][3][4] The incidence of which vary in different studies.…”

Section: Discussionmentioning

confidence: 99%

“…One disadvantage of it is the possibility of failed spinal block. 4 At times when despite easy insertion and drug administration there may be no block or inadequate block. Inadequacy may relate to extent quality or duration of local anesthetic agent.…”

Section: Introductionmentioning

confidence: 99%

A prospective, observational audit of failed regional anaesthesia in 4085 caesarean sections at a tertiary care hospital

2020

IJCA

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Introduction: A prospective observational study was conducted in 4085 caesarean sections performed under Regional anaesthesia (RA) from February 2014 to January 2017 in tertiary care centre. The incidence and various contributing factors leading to total or partial failure of RA and the conversion rate to GA were determined. Materials and Methods: All parturients posted for elective or emergency caesarean section received 10-12 mg 0.5% of hyperbaric bupivacaine added to 25 µg of inj. Fentanyl, administered through a 25-27G Whitacre needle. A structured proforma was prepared to note the demographic data, type of RA, insertion position, position after insertion, local anesthetic volume, loss of sensation to pin prick and grade of motor block. Results: In this 3 year period 4085 CS were performed, out of which 4054 (99.27%) were conducted under RA, [4034 (99.5%) under spinal anesthesia, 14 (0.34%) under CSE and 6 (0.14%) under epidural]. 30 (0.73%) cases received GA primarily, the incidence of conversion rate from neuroaxial anesthesia to GA was 100 (2.5%) out of which 1.77% were of elective surgery and 3.1% were in emergency surgery. Partial failure occurred in 1.68% and complete failure in 0.79% patients. Spinal failure occurred due to anesthetic factors like early start of surgery, before establishment of adequate block, inadequate dose of LA, inappropriate recording of block, ineffective batch of drug and technical or surgical factors. Conclusion:Minimizing the incidence of block failure requires close attention to minute details.

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“…A previously validated data collection form adapted from Lamacraft et al 8 was utilised to obtain relevant data for the study. All the lumbar punctures were performed in a seated position except for a woman presenting with a footling breech who received the anaesthetic in a lateral position.…”

Section: Data Collectionmentioning

confidence: 99%

“…One disadvantage of spinal anaesthesia is the possibility of failed spinal block. 7,8 Failed spinal anaesthesia (FSA) is defined as partial or incomplete spinal block requiring supplemental analgesia or conversion to general anaesthesia. 9 The incidence of FSA varies from one country to another, from centre to centre and from time to time within the same centre.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with failed spinal anaesthesia for Caesarean sections in Mthatha general hospital, Eastern Cape, South Africa

Alabi

Adeniyi

Adeleke

et al. 2017

South African Family Practice

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Complications associated with regional anaesthesia for Caesarean section

Cited by 8 publications

References 47 publications

Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia

Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia

A prospective, observational audit of failed regional anaesthesia in 4085 caesarean sections at a tertiary care hospital

Factors associated with failed spinal anaesthesia for Caesarean sections in Mthatha general hospital, Eastern Cape, South Africa

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