ABSTRACT
Regional anaesthesia is conducted for many surgical procedures. This study was undertaken prospectively to access patients fears, perception and satisfaction of regional anaesthesia(RA) in the perioperative period. It was a prospective cross-sectional survey of 94 patients with American society of anesthesiologist (ASA) physical status class I and II between the ages 18 and 80 years scheduled for surgery under regional anaesthesia. After patients consented to the regional anaesthetic technique, the patients were asked to fill a structured questionnaire composed of the patients' demographic data and questions relating to fears about regional anaesthesia. Post-operatively patients were assessed if they were satisfied. The data were analyzed using the Statistical Package for Social Sciences [SPSS software version-23]. Ninety-four patients were studied and their responses analysed. The mean age was 39±16.2 and 78.7% were females. The most common fear observed was the fear of loss of control during surgery (58.2%). While patients had the least fear of postoperative nausea and vomiting(25.5%). Thirteen(13.8%) of patients were dissatisfied with the regional anaesthesia. The most common reason was due to paresthesia (5.3%). Males had more fear of back injury from RA(50%), p=0.026. There was a positive correlation between patients satisfaction and future choice of RA rs=0.320, p=0.002. Fear of regional anaesthesia is still high in our environment and the level of dissatisfaction with RA is relatively high. Therefore, there is a need for pre-anaesthetic clinics to provide better understanding of regional anesthesia
Subject(s)
Anesthesia , Anesthesia, Conduction , Fear , Nigeria , PatientsABSTRACT
Introduction: Either regional or general anesthesia is an acceptable approach to providing anesthesia for cesarean delivery. However, regional anesthesia is the widely preferred option considering its multiple benefits. The aim of this study was to assess the prevalence of spinal anesthesia use, attitude of mothers towards spinal anesthesia, and magnitude of its complications.Methods: This is a hospital-based cross-sectional study conducted from April-June 2014 at Tikur Anbessa Specialized Hospital and Gandhi Memorial Hospital, Addis Ababa, Ethiopia. Data was collected using a pre-tested questionnaire and analyzed using SPSS version 21 statistical software.Result: During the study period, there were 1,713 deliveries, with overall cesarean section delivery prevalence of 32.5%. The overall proportion of cesarean delivery with spinal anesthesia was 68.2%. Only two mothers were given spinal anesthesia in left lateral position. The experience of the anesthetist was the only factor significantly associated with the occurrence of hypotension in a multivariable analysis. Postdural puncture headache after cesarean section with spinal anesthesia was reported in 34.2% of the cases. After the operation, 90.3% of the mothers were happy with the type of anesthesia administration.Conclusion: The rate of spinal anesthesia for cesarean delivery in this study is significantly lower than reports from the developed as well as sub-saharan countries implying a need to increase use of this procedure to achieve the recommended 90-95% target and avail epidural anesthesia as an option for those in need. The current practice in administering spinal anesthesia needs to be revised to minimize such side effects
Subject(s)
Anesthesia, Conduction , Anesthesia, Spinal , Cesarean Section/methods , Cross-Sectional Studies , EthiopiaABSTRACT
Objectif : Cette etude a pour objectif d'evaluer la pratique du bloc tronculaire pour une chirurgie de la main dans le cadre de l'urgence chirurgicale dans deux centres hospitaliers a Antananarivo. Materiels et methodes : C'est une etude prospective multicentrique sur une periode de trois mois. Etaient inclus tous les malades entres aux urgences ayant presente une plaie post-traumatique de la main et necessitant une reparation chirurgicale. Le bloc tronculaire du poignet etait realise par un medecin anesthesiste avec du Xylocaine 2pour tout les malades. Les complications eventuelles; une sedation associee; les circonstances de survenue et les lesions anatomiques etaient repertoriees. Resultats : Nous avons recueilli 152 plaies post-traumatiques de la main ayant necessite une intervention chirurgicale d'urgence durant cette periode d'etude. Parmi les blesses de la main; 82 malades ont pu beneficier d'un bloc tronculaire au niveau du poignet (53;94). On note une association avec une sedation par voie IV chez 29 malades. Les complications observees etaient : nausees et vomissements chez 8 patients. Conclusion : La pratique de l'ALR doit etre chose courante dans les services des urgences dans les pays a faibles ressources materiels. Le bloc tronculaire du poignet lors des interventions chirurgicales d'urgences de la main presente peu de risque pour le patient. Sa bonne maitrise est le garant de sa reussite et evite les incidents