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June 11, 2008AnaesthesiaOpen Access

A prospective audit of regional anaesthesia failure in 5080 Caesarean sections*

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Why the study?

What are the failure rates and risk factors associated with regional anaesthesia in Caesarean sections?

Population

5080 women undergoing Caesarean section

Comparison

Regional anaesthesia vs Primary general anaesthesia or comparison…

Design

Cohort

Follow-up

peri-operative

Authors

SKS. M. KinsellaSt Michael's Hospital

Discussion

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Implication

Spinal anaesthesia was associated with lower failure rates in Caesarean sections; hypothesis-generating and requires randomized confirmation before changing practice.

Structured PICO

What are the failure rates and risk factors associated with regional anaesthesia in Caesarean sections?

P
Population
5080 women undergoing Caesarean section
I
Intervention
Regional anaesthesia (spinal 63%, epidural top-up 26%, combined spinal-epidural 5%)
C
Comparator
Primary general anaesthesia (5%) or comparison between regional techniques
O
Outcome
Rate of general anaesthesia conversion and failure to achieve a pain-free operationsafety

Spinal anaesthesia has a lower failure rate for achieving a pain-free Caesarean section compared to epidural top-up and combined spinal-epidural techniques.

Cite This Study

S. M. Kinsella (2008) studied this question.

synapsesocial.com/papers/69dcd9bee3a90a2e2f1333d1https://doi.org/10.1111/j.1365-2044.2008.05499.x
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anesthesia-related Deaths during Obstetric Delivery in the United States, 1979–19901997 · 634 citations
  2. 2Anesthesia-related Deaths during Obstetric Delivery in the United States. 1979–1990 1997 · 559 citations