Dec 18, 2014

Anesthesia for cesarean delivery in the Czech Republic: a 2011 national survey

Anesthesia and Analgesia
Petr StouracJiri Jarkovsky

Abstract

The purpose of this national survey was to determine current anesthesia practices for cesarean delivery in the Czech Republic. 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). 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 o...Continue Reading

Mentioned in this Paper

Prescribing Patterns, Physician
Anesthesia, Conduction
Pain, Postoperative
Analgesics, Non-Narcotic
Postcesarean Section
Analgesia, Epidural
Body Parts - Epidural
Absence of Pain Sensation
Hospitals, High-Volume
Elective Surgical Procedures

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