Key result
Failed spinal anaesthesia occurred in 11.7% of Caesarean sections, with previous anaesthesia, obesity, dry tap, bloody CSF, and doctor experience <1 year significantly associated with failure.
Why the study?
What is the incidence and what are the predictors of failed spinal anaesthesia in pregnant women undergoing Caesarean section?
Population
197 pregnant women scheduled for Caesarean section under spinal anaesthesia at Mthatha General Hospital
Design
Cross-sectional
Authors
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May inform risk stratification for spinal failure in Caesarean sections; leaves open need for prospective validation before practice change.
Cross-Sectional (n=197)
No
What is the incidence and what are the predictors of failed spinal anaesthesia in pregnant women undergoing Caesarean section?
There is a high incidence (11.7%) of failed spinal anaesthesia during Caesarean sections in this setting, highlighting the need for upskilling doctors.
Alabi et al. (2017) conducted a cross-sectional in Caesarean section (n=197). Risk factors for failed spinal anaesthesia was evaluated on Incidence of failed spinal anaesthesia (defined as partial or incomplete spinal block requiring conversion to general anaesthesia). Failed spinal anaesthesia occurred in 11.7% of Caesarean sections, with previous anaesthesia, obesity, dry tap, bloody CSF, and doctor experience <1 year significantly associated with failure.
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