Key result
The overall incidence of failed spinal anaesthesia was 22.4% among patients undergoing surgery, with emergency surgery, low bupivacaine dose, and inexperienced anaesthetists identified as significant risk factors.
Why the study?
The study was conducted to determine the incidence and factors associated with failed spinal anaesthesia among patients undergoing surgery in Amhara National Regional State comprehensive specialized hospitals.
Population
532 patients undergoing surgery in Amhara National Regional State comprehensive specialized hospitals
Design
Multi-center prospective observational study
Authors
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High failure incidence signals need for technique optimization in similar settings; leaves open whether interventions targeting identified factors reduce rates.
Observational (n=532)
Yes
Failed spinal anaesthesia occurs in over 20% of cases in this Ethiopian setting, strongly associated with emergency surgery, bloody CSF, low bupivacaine dose, and lack of adjuvants.
Demilie et al. (2023) conducted an observational in Patients undergoing surgery under spinal anaesthesia (n=532). Risk factors for failed spinal anaesthesia was evaluated on Incidence of failed spinal anaesthesia (95% CI 19.0-25.9). The overall incidence of failed spinal anaesthesia was 22.4% among patients undergoing surgery, with emergency surgery, low bupivacaine dose, and inexperienced anaesthetists identified as significant risk factors.
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