Anesthesia; Adverse Effect, Cesarean Section Complications
Conditions
Keywords
Spinal anaesthesia, cesarean section
Brief summary
The aim of this study is to reveal the factor associated with failed spinal anaesthesia in cesarean delivery. We conduct the retrospective case-control study to elucidate the involving factors.
Detailed description
Spinal anaesthesia is the anaesthetic technique of choice of patients undergoing cesarean delivery due to its rapid onset, good reliability and good efficacy. However, the inadequate or failed spinal anaesthesia can occur. The previous literatures revealed incidence of failed spinal anaesthesia was as high as 0.5-6%. Failure of spinal anaesthesia leads to numerous maternal and neonatal consequences. Those failed spinal anaesthesia patients required general anaesthesia with endotracheal tube which may cause several complications such as hypoxia, difficult intubation, failed intubation and pulmonary aspiration. Also, a recent network meta-analysis showed general anaesthesia decreasing neonatal Apgar score. The factors that associated with failed spinal anaesthesia in cesarean delivery has been studied. The amount of local anaesthetic, needle type, patients' body mass index (obesity), and experiences of the anaesthetist performing spinal block influenced the failure of spinal anaesthesia. The details and factors of failed spinal anaesthesia in our hospital was scarce. It has not yet been published in the literature. Therefore, the aim of this study is to reveal the factor associated with failed spinal anaesthesia in cesarean delivery. We conduct the retrospective case-control study to elucidate the involving factors.
Interventions
PROCEDUREspinal anaesthesia with local anaesthetic and intrathecal morphine
Patients undergoing cesarean delivery and received spinal anaesthesia with local anaesthetic and intrathecal morphine
Sponsors
Mahidol University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \>,= 18 years * Undergoing cesarean delivery * Failed spinal anaesthesia and received general anaesthesia with endotracheal tube
Exclusion criteria
* Gestational age \< 24 weeks * Received combined spinal-epidural anaesthesia * Received peripheral nerve blockade
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Age | At starting operation | Factors involving failed spinal anaesthesia for cesarean delivery: patient age |
| Body mass index | At starting operation | Factors involving failed spinal anaesthesia for cesarean delivery: patient body mass index (BMI) : weight and height will be combined to report BMI in kg/m\^2 |
| Anaesthesiologist performing spinal anaesthesia | At starting anaesthesia | Factors involving failed spinal anaesthesia for cesarean delivery: Anaesthesiologist performing spinal anaesthesia (resident or consultant) |
| Time starting of operation | At starting operation | Factors involving failed spinal anaesthesia for cesarean delivery: at which time cesarean delivery starting to performed eg. in office hour or out of office hour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of failed spinal anaesthesia for cesarean delivery | At starting operation | Incidence of failed spinal anaesthesia for cesarean delivery |
Countries
Thailand
Outcome results
None listed