Key result
Responses to 8 of 47 survey questions regarding obstetric anesthesia practice differed significantly between academic and private practice anesthesiologists after accounting for clinical time.
Why the study?
Are there differences in practice patterns between academic and private practice anesthesiologists regarding controversial situations in obstetric anesthesia?
Cross-Sectional (n=207)
Yes
Are there differences in practice patterns between academic and private practice anesthesiologists regarding controversial situations in obstetric anesthesia?
Despite some differences in specific areas like preoperative testing and IV supplementation, academic and private practice anesthesiologists have generally similar practice patterns in controversial obstetric anesthesia situations.
Survey reveals variation in obstetric anesthesia practices; leaves open need for evidence-based standardization.
A survey consisting of 47 questions, 40 regarding clinical practice and 7 regarding demographics, was mailed to 153 directors of obstetric anesthesia in academic practice and to 153 anesthesiologists in private practice. Questions relating to the following areas of practice were asked: 1) preoperative laboratory testing; 2) preeclampsia and possible coagulopathies; 3) epidural catheter placement in women with "spinal problems"; and 4) use of epidural opioids and intravenous supplementation. Surveys were returned by 113 (74%) academic anesthesiologists and 94 (61%) private practice anesthesiologists. By univariate analysis, 14 questions showed a significant difference in response between those in academic and private practice, but only eight remained significant after accounting for the amount of clinical time currently devoted to obstetric anesthesia (>50% or < or = 50%). These eight questions related to preoperative laboratory testing in the healthy parturient, preoperative laboratory testing in the preeclamptic patient, and the use of intravenous supplementation during a cesarean section with regional anesthesia. Although there were some differences in the responses between anesthesiologists in academic and private practice, overall the responses were similar.
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Beilin et al. (1996) conducted a cross-sectional in Obstetric anesthesia practice patterns (n=207). Academic practice vs. Private practice was evaluated on Differences in response to survey questions regarding clinical practice. Responses to 8 of 47 survey questions regarding obstetric anesthesia practice differed significantly between academic and private practice anesthesiologists after accounting for clinical time.
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