Spinal anesthesia: how can we improve patient satisfaction?

Lee, Jong Seok

doi:10.4097/kjae.2010.59.4.231

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…Studies suggested spinal prick attempt was an independent predictor for maternal satisfaction [ 2 , 25 , 26 ] which is similar to the current finding (AOR = 2.08, 95% CI = 1.05–4.11, p value = 0.035). In contrast to this, studies had shown that spinal prick attempts were not significantly associated with satisfaction [ 17 , 18 ].…”

Section: Discussionsupporting

confidence: 90%

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

Bayable

Ahmed

Lema

et al. 2020

Anesthesiology Research and Practice

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Background. Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and expansion of high-quality care services. We aimed to assess maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia. Methods. Institutional-based cross-sectional study was conducted from February to May 2019. A total of 383 parturients were enrolled to assess maternal satisfaction using a 5-point Likert scale. Both bivariable and multivariable logistic regression analyses were done. Variables of p value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A p value <0.05 was considered as significantly associated with maternal satisfaction at 95% CI. Results. This study revealed that 315 (82.3%) of the parturients were satisfied. Single spinal prick attempts (AOR = 2.08, 95% CI = 1.05–4.11), successful spinal block (AOR = 7.17, 95% CI = 3.33–15.43), less incidence of postdural puncture headache (AOR = 2.36, 95% CI = 1.33–4.20), and prophylactic antiemetic use (AOR = 0.35, 95% CI = 0.19–0.66) were positively associated with maternal satisfaction. Conclusions. The overall maternal satisfaction receiving spinal anesthesia was considerably low. Single spinal prink attempts, successful spinal block, and less incidence of postural puncture headache can increase maternal satisfaction. Therefore, effective perioperative management, skillful techniques, and using the small-gauge Quincke spinal needle (25–27 gauge) may increase the maternal satisfaction and quality of spinal anesthesia management.

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Section: Discussionsupporting

confidence: 90%

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

Bayable

Ahmed

Lema

et al. 2020

Anesthesiology Research and Practice

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“…The advantages of regional anesthesia include an awake mother, minimal depression of the newborn, and avoidance of the risks of general anesthesia complications (especially failed intubation and aspiration); with its simplicity, small drug dose, low failure rate, and rapid onset [ 3 ]. The choice of anesthesia for any cesarean section depends on multiple factors like the indication of surgery, the urgency of the operation, and patient's as well as surgeon's desire [ 2 , 4 , 5 ]. Anesthetists always choose the method that is believed to be safest and most comfortable for the mother, least depressant to the newborn and provides the optimal working conditions for the obstetrician [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of satisfaction and associated factors of parturients underwent cesarean section with spinal anesthesia at the General Hospital, Ethiopia; 2019

Chekol

Getu

Tesfaw

et al. 2021

Annals of Medicine &Amp; Surgery

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Background and aim Spinal anesthesia for cesarean section is now a day a popular plan of anesthesia because of its rapid onset and high frequency of successful blockade. It is a vital monitor to the quality of care in anesthesia. The main aim of this study was to assess the level of maternal satisfaction and associated factors after cesarean section under spinal. Methods Hospital-based cross-sectional study was conducted on mothers who underwent cesarean section with spinal anesthesia. Descriptive analysis and chi-square test were employed. Bivariable and multivariable logistic regression was used to measure the association of factors with the level of satisfaction. A p-value of ≤0.25 and ≤ 0.05 was used to decide statistical significance for bivariable and multivariable logistic regression respectively. Findings The overall satisfaction level of parturients after spinal anesthesia was 97(80.2%). The satisfaction level was 83.3% with PONV treatment, 98.3% with intraoperative analgesia, between 52.5% and 64.2% to preoperative activities, and 72.5% for postoperative patient care by the anesthetist. Having previous anesthesia was the independent factor that has a significant association with the level of satisfaction with AOR, 3.94; 95%CI, 1.24–12.45; P- 0.01. Conclusion In general, the overall satisfaction of the mothers towards spinal anesthesia was fair with a satisfaction score of 80.2%. Parturients were highly dissatisfied with the preoperative visit and information subscale as compared to the other subscales.

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“…One of the common complications of spinal anesthesia in clinical practice is postoperative back pain. The reduction of this pain is mandatory to increase the quality of life, expand anesthesia outcomes, and improve patient satisfaction [ 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 , 2 ] Even though spinal anesthesia is the preferred technique, it has a lot of complications like postspinal back pain (PSBP) compared to general anesthesia (GA). [ 2 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Factors Associated with Back Pain among Patients Undergoing Spinal Anesthesia at the University of Gondar Comprehensive and Specialized Hospital, North West Ethiopia: An Institutional Based Cross-Sectional Study

Zeleke

Mersha

Endalew

et al. 2021

Advances in Medicine

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Background. Back pain is often reported as a common complaint after surgery. Many studies showed that the prevalence of back pain after spinal anesthesia is high and its magnitude is considerable in developing countries. It is highly related to reduced quality of life, loss of work productivity, burden of health care costs, and satisfaction regarding health care service; therefore, measures should be taken to reduce or prevented postspinal back. The aim of this cross-sectional study was to assess the prevalence and factors associated with back pain among patients undergoing spinal anesthesia at the University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia. Methodology. An institutional based cross-sectional study was conducted from March to May 2020. A total of 215 participants were enrolled in this study. A convenience sampling technique was used to get the study participants. Both univariable and multivariable logistic regression were used to identify factors associated with postspinal back pain. Variables with a p value less than <0.2 in the bivariable analysis were fitted into the multivariable analysis. In the multivariable analysis, a variable with a p value of <0.05 was considered statistically significant. Results. The overall prevalence of postspinal back pain was 40.5% (95% CI: 34.0, 47.4). Being overweight (AOR = 3.8; 95% CI: 1.47, 9.96) and obese (AOR = 4.9; 95% CI: 1.19, 20.4), using big spinal needles (AOR = 5.9; 95% CI: 1.04, 33.4), two attempts of lumbar puncture (AOR = 5.5; 95% CI: 1.74, 17.59), more than three attempts of lumbar puncture (AOR = 4.9; 95% CI: 1.63, 15.2), and the number of bone contacts during spinal anesthesia procedure (AOR = 3.1; 95% CI: 1.14, 8.45) were positively associated with postspinal back pain. Conclusion and Recommendation. The overall incidence of back pain is high. Body mass index, size of spinal needle, number of attempts, and number of bone contacts are significantly associated with the incidence of back pain following spinal anesthesia. Thus, it is better to minimize the number of lumbar puncture attempts and bone contacts during spinal anesthesia to reduce postspinal back pain. In addition, using smaller size spinal needle is a good choice.

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Spinal anesthesia: how can we improve patient satisfaction?

Cited by 4 publications

References 8 publications

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

Assessment of satisfaction and associated factors of parturients underwent cesarean section with spinal anesthesia at the General Hospital, Ethiopia; 2019

Prevalence and Factors Associated with Back Pain among Patients Undergoing Spinal Anesthesia at the University of Gondar Comprehensive and Specialized Hospital, North West Ethiopia: An Institutional Based Cross-Sectional Study

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