Obstetrical anaesthesia in Ontario

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
J Oyston

Abstract

The purpose of this study was to determine the availability of regional anaesthesia for Caesarean section, of epidural opioids and patient-controlled analgesia after Caesarean section, and of epidural and other forms of analgesia in labour. A mail survey was sent to the "Head Nurse, Department of Obstetrics" at each of the 142 hospitals in Ontario with designated obstetric beds. Responses were obtained from 100% of hospitals. For Caesarean Section, general anaesthesia was used in all hospitals, and was the only option in seven. Epidural anaesthesia was used in 93% of hospitals, and spinal anaesthesia in 48%. Postoperatively, patient-controlled analgesia was used in 31% of hospitals and spinal opioids in 28%. In 66 hospitals, im or iv opioids were the only types of analgesia available. For analgesia in labour, im or iv opioids were used in 96% of hospitals, nitrous oxide was used in 75%, epidural analgesia in 75%, transcutaneous electrical nerve stimulation in 52% and patient-controlled analgesia in 10%. The overall epidural rate was 38%. Although the average rate in the 73 hospitals with fewer than 500 births per year was only 6%, 14 large hospitals had an epidural rate of 60% or higher. It is concluded that regional techniques...Continue Reading

References

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Citations

Apr 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A F Smith
Dec 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K G Smedstad
Jul 3, 1999·European Journal of Anaesthesiology·U M StamerA Hoeft
Feb 25, 2009·European Journal of Anaesthesiology·Rebecca A FanningMichael F Carey
Jun 19, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Christine L RobertsBrian Peat
Jan 5, 2010·American Journal of Obstetrics and Gynecology·Ning LiuMark C Walker
Nov 9, 2011·Journal of Midwifery & Women's Health·Tekoa L King
Nov 29, 2002·Anesthesia and Analgesia·Sandra KampeChristoph Diefenbach
Aug 17, 2010·International Journal of Obstetric Anesthesia·C F WeinigerY Ginosar

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