Key result
Anesthetist experience <1 year (AOR 4.12), patient position (AOR 14.43), and >1 attempt (AOR 9.26) were significantly associated with failed spinal anesthesia during cesarean section.
Why the study?
Spinal anesthesia during cesarean section can fail, potentially exposing patients to pain and discomfort, requiring better understanding of its type, management, and related factors.
What are the types, management strategies, and factors associated with failed spinal anesthesia in mothers undergoing cesarean section?
Population
794 mothers meeting criteria for cesarean section under spinal anesthesia in Addis Ababa
Design
Multicenter prospective cohort study
Authors
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Spinal failure in 15% of cesareans linked to inexperience and technique; leaves open standardized protocols pending interventional studies.
Cohort (n=794)
Yes
What are the types, management strategies, and factors associated with failed spinal anesthesia in mothers undergoing cesarean section?
Odds Ratio: 4.12 (95% CI 2.47–6.9)
Failed spinal anesthesia during cesarean section is significantly associated with factors such as anesthetist experience, patient position, multiple attempts, bloody CSF, obesity, and low bupivacaine dose.
Bekele et al. (2022) conducted a cohort in Cesarean section under spinal anesthesia (n=794). Anesthetist experience <1 year vs. Anesthetist experience ≥1 year was evaluated on Failed spinal anesthesia (AOR 4.12, 95% CI 2.47-6.90). Anesthetist experience <1 year (AOR 4.12), patient position (AOR 14.43), and >1 attempt (AOR 9.26) were significantly associated with failed spinal anesthesia during cesarean section.
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