PMID: 9530449Apr 8, 1998Paper

Current practices in anesthesia for cesarean section in german university clinics. Results of a survey in the year 1996

Der Anaesthesist
H Wulf, U M Stamer

Abstract

Obviously there is a world-wide trend towards regional anaesthesia for caesarean section (CS). Data on the current practice in Germany are lacking. In 1996 questionnaires on obstetric anaesthesia were mailed to all University departments of anaesthesia. All 38 University Hospitals with obstetric units replied (100%). Mean annual delivery rate was 1156 with a mean CS-rate of 24%. For scheduled CS the University departments used general anaesthesia in most cases (60%), followed by epidural (31%) and spinal anaesthesia (9%). General anaesthesia was predominantly used for more urgent (87%) or emergency deliveries (99%). Spinal anaesthesia was offered to patients as an option of anaesthesia for CS in 16 of 38 departments, epidural anaesthesia in 36 of 38. The majority of university hospitals (22 of 38) performed more than 25% of their CS in epidural anaesthesia; 14 departments had a ratio of at least 50% of regional anaesthesia. 28 of 32 centres administered some kind of acid aspiration chemoprophylaxis as a routine management. Special devices for the management of a difficult airway were provided in 61% of the hospitals within the delivery unit. In 70% the anaesthesiologist was responsible for the postoperative pain management foll...Continue Reading

Citations

Oct 4, 2006·Current Opinion in Anaesthesiology·U M StamerH Wulf
Dec 11, 2007·Der Schmerz·T MeuserU M Stamer

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