None listed
Conditions
Brief summary
Royal College of Anaesthetists (RCOG), in their Audit from 2012, suggests that an indicator of the quality of obstetric care, except the rate of general and regional anaesthesia, should be the rate of conversion of regional analgesia to general anaesthesia for caesarean section. That rate, depending on the urgency category of C-section, should not be larger than 1% for category 4 and 15% for category 1. The primary goal of this study is to compare types of anaesthesia used at our department with RCOG standards by retrospectively analysing the type of anaesthesia used for C-section during the three-year period. The secondary goal is to establish which factors led to failure of regional anaesthesia for C-section.
Interventions
Study involves all patients undergoing caesarean section under general, spinal or epidural anaesthesia. All of the patients are managed by standard, routine anaesthesia methods and monitored by standard methods. Standard monitored data will be recorded for all patients: age, weight, height, BMI, parity, gestational weeks, indication for C-section, urgency category of C-section, type and dose of drugs used and experience level of staff involved. For cases of conversion of regional to general anaesthesia additional variables observed are time between regional anaesthesia applications and general anaesthesia, as well as number of top-ups. Participants are observed until discharge from the ICU or PACU.
Sponsors
Eligibility
Inclusion criteria
Patients who underwent C-section
Exclusion criteria
Incomplete data for type of anaesthesia used.