Anaesthesia for minor surgery in the early postpartum period – Czech and Slovak prospective national surveys
Authors:
P. Tourač 1; J. Bláha 2; P. Nosková 2; R. Klozová 3; D. Seidlová 4; M. Grochová 5; M. Kosinová 1; J. Jarkovský 6; H. Zelinková 6; D. Schwarz 6; M. Svoboda 6; S. Richterová 7; O. Smékalová 8; B. Zaoralová 9; Z. Mrozek 10; Z. Krupková 11; L. Večeřa 12; H. Ivanková 13; A. Magyarová 14; J. Šimonová 5; J. Firment 5
Authors‘ workplace:
Klinika dětské anesteziologie a resuscitace, Lékařská fakulta, Masarykova univerzita a Fakultní nemocnice Brno
1; Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze
2; Klinika anesteziologie a resuscitace, 2. lékařská fakulta, Univerzita Karlova a Fakultní nemocnice v Motole
3; II. anesteziologicko-resuscitační oddělení, Fakultní nemocnice Brno
4; I. klinika anestéziológie a intenzívnej medicíny, Lekárska fakulta, Univerzita Pavla Jozefa Šafárika, Univerzitná nemocnica L. Pasteura Košice
5; Institut biostatistiky a analýz, Lékařská fakulta, Masarykova univerzita
6; Klinika anesteziológie a intenzívnej medicíny, Univerzitná nemocnica Martin
7; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta, Masarykova univerzita a Fakultní nemocnice Brno
8; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta, Ostravská univerzita a Fakultní nemocnice Ostrava
9; Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Olomouc, Lékařská fakulta Univerzity Palackého v Olomouci
10; Anesteziologicko-resuscitační oddělení, Nemocnice Na Bulovce
11; Anesteziologicko-resuscitační oddělení, Krajská nemocnice Tomáše Bati, a. s.
12; Oddelenie anestéziológie a intenzívnej medicíny, Fakultná nemocnica s poliklinikou J. A. Reimana Prešov
13; Klinika anesteziológie a intenzívnej medicíny, Fakultní nemocnice Nitra
14
Published in:
Anest. intenziv. Med., 30, 2019, č. 2, s. 72-79
Category:
Samostatnou a velice specifickou oblastí porodnické anestezie je podávání anestezie matce v bezprostředním poporodním období. Nezodpovězenou otázkou zůstává, zda všechna dobře známá rizika anestezie těhotné v pokročilé fázi těhotenství přetrvávají i do časného poporodního období [1].
Overview
Objectives: To determine the anaesthesia practice for early postpartum procedures in the Czech Republic (CZE) and Slovakia (SK).
Design: International, prospective, observational.
Departments: 105 departments providing obstetric anaesthesia in CZE and SK.
Methods: With Ethical Committee approval we aimed to enrol all the 149 obstetric departments in CZE and SK and to monitor every case of anaesthetic care in the peripartum period during November 2015. The data were recorded into CLADE-IS database through a Case Report Form consisting of two parts (Demography 2014 and Case Report). The database was analysed descriptively with SPSS24 software.
Results: We enrolled 105 centres (70.5%) representing 87.7% of all births in the CZE (7256 out of 8275) and 66.4% in the SK (2863 out of 4311). There were 3523 cases of anaesthetic care in the peripartum period, of which 181 (5.1%) were in the early postpartum period: manual lysis (108, 59.7%), postpartum uterine cavity revision (61, 33.7%) and sewing of extensive birth injuries (58, 32.0%). The mode of anaesthesia was general (168, 92.8%), or epidural (13, 7.2%) in parturients with an epidural catheter in-situ. The airway was secured with face mask (117, 64.6%) or orotracheal intubation (32, 17.7%). Rapid Sequence Induction and succinylcholine (27, 84.4%) with cricoid pressure (8, 29.6%) were used for intubation. The anaesthetic agent used for induction was propofol (147, 81.2%), ketamine (29, 16.0%) or thiopental (8.44%). Analgesia was provided with sufentanil (78, 43.0%) and alfentanil (51, 28.2%).
Conclusion: Anaesthetists in the Czech Republic and Slovakia prefer general anaesthesia with face mask and propofol for minor surgery in the postpartum period.
Keywords:
postpartum anaesthesia – anaesthetic agents – airway management
Sources
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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine Gynaecology and obstetrics HaematologyArticle was published in
Anaesthesiology and Intensive Care Medicine
2019 Issue 2
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