Umfrage zur aktuellen Situation der Regionalan�sthesie im deutschsprachigen Raum

Abstract

The practice of regional anaesthesia in German speaking countries was investigated by a survey. The last part of the trilogy contains the presentation and evaluation of the data about the methods in obstetric anaesthesia. In 2002 questionnaires were mailed to 750 randomly selected departments of anaesthesia, 384 hospitals (51.2%) responded of which 278 had an obstetric unit. Caesarean section rate was 22.5+/-8.2% and for elective caesarean section spinal anaesthesia was mostly used. General anaesthesia was never used in 58.3% of Swiss, 10.2% of German, and 21.1% of Austrian hospitals. For non-elective caesarean section 42.1% of the hospitals often used a spinal anaesthesia, and 44.8% sometimes, in Switzerland these were 92.9% and 7.1%, respectively. Pain relief for labour was usually achieved with epidural anaesthesia or drugs. The trend from general to regional anaesthesia for caesarean section is continued, as is the trend from local infiltrative techniques to epidural anaesthesia for vaginal delivery. Switzerland was in the forefront for these developments.

Current Practice in Obstetric Anesthesia and Analgesia in Public Hospitals of Greece: A 2016 National Survey

“…The rate of GA for CDs was significantly lower (30.7%) than RA, but still quite high, especially when compared with the rates reported by other countries ( 6 , 8 , 9 , 10 ). In a recent analysis of a USA registry, the overall rate of GA usage nationally for CDs is 5.8% ( 8 ), while similar low rates were reported in Germany (less than 10%) ( 9 ), in Switzerland (5%) ( 10 ), and in Taiwan (3.9%) ( 6 ). Nevertheless, there are recent surveys reporting even higher rates of GA than ours; in the Czech Republic, almost half of the CDs (47%) are performed under GA ( 5 ).…”

“…Nevertheless, there are recent surveys reporting even higher rates of GA than ours; in the Czech Republic, almost half of the CDs (47%) are performed under GA ( 5 ). In Western countries, GA is almost exclusively used in emergency CDs or in case of RA failure ( 8 , 9 , 10 ). An interesting finding of the survey was that the main reason for choosing GA over RA was parturient preferences (over 40% of GAs).…”

Which types of peripheral nerve blocks should be included in residency training programs?

“…Use of peripheral regional anesthesia and analgesia techniques has experienced a significant growth during the last decades [ 1 , 2 ]. Use of these techniques requires procedural competencies that anesthesiologists should acquire as trainees, mostly during the residency program [ 3 , 4 ].…”

Retrospective Analysis of Anesthesia Techniques Applied in Cesarean Section and Factors Effective on Neonatal Apgar Score: Case of District State Hospital

“…Hem anne hem de bebek açısından avantajlarının olması, yıllar içerisinde rejyonal anestezi yöntemlerinin daha kolay uygulanmasını sağlayan ekipmanların geliştirilmesi ve anesteziyologların rejyonal işlemler açısından bilgi ve becerilerinin artması, sezaryen operayonlarında rejyonal anestezi tekniklerinin daha çok tercih edilmesine yol açmıştır (8)(9)(10)(11) . Sezaryende tercih edilen anestezi yöntemi ile ilgili çalışmalar incelendiğinde; Şahin ve Owen'in (12) 2002'de yaptıkları çalışmada, ülkemiz genelinde sezaryenlerde çoğunlukla genel anestezi uygulandığı gösterilmişken, Umuroğlu ve ark.…”

“…Bu oran yurt dışındaki merkezlere oldukça yakındır. Çalışmalarda (8)(9)(10) , tüm sezaryen doğumlar için Tayvan'da %3.9, İsveç'te %5, ABD'de %5.8, Almanya'da ise<%10 oranında genel anestezi yöntemlerinin tercih edildiği gösterilmiştir. İspanya'da yapılan bir çalışmada (14) , sezaryende rejyonal anestezi kullanım oranının %98 olduğu spinal anestezinin %75 oranında kullanıldığı bildirilmiştir.…”