Key result
Specialist anaesthetists are linked to more frequent conversion of failed spinal anaesthesia to general anaesthesia.
Population
375 obstetric anaesthetic service providers from 42 government hospitals in KwaZulu-Natal, South Africa
Comparison
Structured questionnaire on testing the level of… vs Specialist anaesthetists vs. non-specialist…
Design
Cross-sectional
Authors
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Provider variation in spinal failure management warrants caution; leaves open standardized algorithm benefits in Level 4 evidence.
Cross-Sectional (n=375)
Yes
p-value: p=<0.001
There is a significant difference in the management of failed spinal anaesthesia between specialist and non-specialist anaesthetists in South Africa, highlighting the need for a standardized algorithm.
Jones et al. (2017) conducted a cross-sectional in Management of failed spinal anaesthesia for caesarean section (n=375). Survey of clinical practice (Specialist vs Non-specialist management) vs. Non-specialist anaesthetic providers was evaluated on Standardised approach to testing the level of block and management of failed spinal anaesthesia (p=<0.001). Specialist anaesthetists were significantly more likely to convert to a general anaesthetic for failed spinal anaesthesia compared to non-specialists (p<0.001), and only 56% of all surveyed providers routinely tested the level of block.
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