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National survey of obstetric anaesthesia clinical practices in the republic of Austria.

Abstract：

BACKGROUND:The aim of this study was to describe the current obstetric anaesthetic practices in Austria by performing a comprehensive questionnaire survey. METHODS:A questionnaire was sent via email to key anaesthesiologists from obstetric anaesthesia departments of 81 hospitals registered at the Austrian Ministry of Health. RESULTS:Of 81 departments contacted, 65 (80%), covering 84% of annual births in Austria, responded to the 82-question survey. Epidural analgesia was offered universally, at a rate under 30% in 56 (86%) of respondent hospitals. The caesarean section rate was under 30% in 44 (68%) respondent obstetric units. All respondents provided spinal anaesthesia as the primary anaesthetic technique for elective caesarean section. Three (5%) respondents administered long-acting intrathecal morphine and 18 (28%) respondents did not routinely administer any intrathecal opioid. Wound infiltration for acute postoperative pain control was practiced in two (3%) respondent units. A transversus abdominis plane block was offered as rescue analgesia in 14 (22%) departments. Spinal hypotension was treated using a prophylactic phenylephrine infusion in two (3%) respondent hospitals. Prophylactic antibiotics were administered prior to skin incision by 31 (48%) respondents. CONCLUSION:This survey reveals that obstetric anaesthetic practices in Austria differ in part from current European and American guidelines. Findings will direct the national workforce on obstetric anaesthesia that aims to introduce into Austria practice guidelines, based on international collaborations and guideline recommendations.

journal_name

Int J Obstet Anesth

journal_title

International journal of obstetric anesthesia

authors

Oji-Zurmeyer J,Ortner CM,Klein KU,Gries M,Kühn C,Schroffenegger T,Putz G,Jochberger S

doi

10.1016/j.ijoa.2019.02.002

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

95-98

eissn

0959-289X

issn

1532-3374

pii

S0959-289X(18)30225-5

journal_volume

39

pub_type

杂志文章

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