Obstetrical epidural anaesthesia in a rural Canadian hospital
Open accessAbstract
Few rural hospitals offer obstetric epidural analgesia services and of those that do, there is a paucity of information about these anaesthetics. A retrospective review was conducted of all obstetrical epidurals from 1984-1988 in an 85-bed hospital in Saskatchewan to examine the indications, complications, and infant outcomes. During that period there were 1224 deliveries. From a total of 915 vaginal deliveries, 42 (4.6%) received an epidural. Caesarean sections numbered 309: 183 (59.3%) were with epidural analgesia of which 69 were urgent and 114 elective. The overall complication rate was 23% with the most important being hypotension (12%), dural punctures (1.8%), inadequate block requiring an intravenous supplement (4.0%) or a general anaesthetic (3.1%). Infant outcomes were favourable except for two unrelated intra-uterine deaths preceding labour.
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Low-risk procedures, including low-risk obstetric care, can be performed safely in smaller hospitals.
“low-risk procedures -including low-risk obstetric care -can be performed safely in smaller hospitals.”
From Canada needs a national strategy for anesthesia services in rural and remote regions (2020) · cites this paper as [7]
The Conclusion says obstetrical epidural anaesthesia can be performed safely and effectively in smaller Canadian hospitals. The study does not assess low-risk procedures generally or classify the obstetric care it studied as low-risk, so the citing sentence extends beyond its findings. (LLM, conf=0.88)
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- 20rser B. Obstetrical epidural anaesthesia in a Canadian outpost hospital. Can J Anaesth 1988; 35: 503--6.
- 40ng, B, Cohen MM, Cumming M, Palahniuk RJ. Obstetri- cal anaesthesia at Winnipeg Women's Hospital 1975-83: anaesthetic techniques and complications. Can J Anaesth 1987; 34: 294-9.
- Rudick V, Niv D, Golan A, et al. Epidural analgesia dur- ing labour in 1200 monitored parturients. Israel J Med Sci 1983; 19: 20--4.
- Walton P, Reynolds F. Epidural analgesia and instrumen- tal delivery. Anaesthesia 1984; 39: 218-23.
- Brizgys RV, Dailey PA, Shnider S, et al. The incidence and neonatal effects of maternal hypotension during epidural anaesthesia for cesarean section. Anesthesiology 1987; 67: 782-6.
- Philipson E, Kuhnert BR, Pimentel R, Amini SB. Transi- ent maternal hypotension following epidural anesthesia. Anesth Analg 1989; 69: 604-7.
- Shnider SM, Levinson G. Anesthesia for cesarean section. In: Shnider SM, Levinson G (Eds.). Anesthesia for Obstet- rics. Baltimore: Williams & Wilkins, 1987.
- Fraser CM. Selected perinatal procedures: scientific basis for use and psychosocial effects: a literature review. Acta Obstet Gynecol Scand 1983; suppl 117: 22-3.
- Davies JM, Weeks S, Crone 1_,4, Pavlin E. Difficult intu- bation in the parturient. Can J Anaesth 1989; 36: 668-74.
- Juul J, Lie B, Nielsen SF. Epidural analgesia vs general anesthesia for cesarean section. Acta Obstet Gynecol Scand 1988; 67: 203-6.
- Morgan B, Aulakh J, Barker J, et al. Anaesthesia for cae- sarean section. Br J Anaesth 1983; 55: 885.
- Spielman F, Corke B. Advantages and disadvantages of regional anaesthesia for cesarean section. J Reprod Med 1985; 30: 832--40.
- Guidelines to the practice of anesthesia. Canadian Anaes- thetists' Society Newsletter. 1986; Vol. 2.
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Canada needs a national strategy for anesthesia services in rural and remote regions
Orser, B. A., & Wilson, C. R. (2020) · Canadian Medical Association Journal · doi:10.1503/cmaj.200215 · Cited by 35 · see citing works
- Authors
- Webb, R. J., & Kantor, G. S. A.
- Affiliations
- University of Toronto (CA)
- ORCID
- Kantor, Gareth S. A.
- Venue
- Canadian Journal of Anaesthesia
- Published
- 1992-04
- Volume
- 39
- Issue
- 4
- Pages
- 390-393
- ISSN
- 0832-610X (ISSN-L)
- 1496-8975
- OpenAlex
- W1964624321
- Cited by
- 13
- References
- 0
- Citations by year
- 2023: 1 · 2020: 1 · 2019: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Canadian Journal of Anesthesia/Journal canadien d anesthésie (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ontario Medical Association
- Topics
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- obstetric epidural analgesia, rural hospitals, epidural anesthesia complications, hypotension, dural puncture, cesarean section, vaginal delivery, infant outcomes, intrauterine fetal death, Saskatchewan
- MeSH terms
- Anesthesia, Epidural, Anesthesia, Obstetrical, Apgar Score, Bupivacaine, Cesarean Section, Female, Hospitals, Rural, Humans, Infant, Newborn, Labor, Obstetric, Lidocaine, Pregnancy, Saskatchewan
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