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CURRENT PRACTICE IN OBSTETRIC ANESTHESIA/ANALGESIA IN PUBLIC HOSPITALS OF GREECE: A 2016 NATIONAL SURVEY
Author(s): ,
Staikou, C.
Affiliations:
Aretaieion Hospital- Medical School- National and Kapodistrian University of Athens, Department of Anesthesiology and Pain Medicine, Athens, Greece
,
Theodoraki, K.*
Affiliations:
Aretaieion Hospital- Medical School- National and Kapodistrian University of Athens, Department of Anesthesiology and Pain Medicine, Athens, Greece
,
Makris, A.
Affiliations:
Asklepieion Hospital of Voula, Department of Anesthesiology, Athens, Greece
,
Tsaroucha, A.
Affiliations:
Aretaieion Hospital- Medical School- National and Kapodistrian University of Athens, Department of Anesthesiology and Pain Medicine, Athens, Greece
,
Douma, A.
Affiliations:
G. Gennimatas General Hospital, Department of Anesthesiology, Athens, Greece
,
Moka, E.
Affiliations:
Creta Interclinic Hospital, Department of Anesthesiology, Heraklion- Crete, Greece
,
Arnaoutoglou, E.
Affiliations:
University Hospital of Larissa- Medical School, Department of Anesthesiology, Larissa- Thessalia, Greece
,
Paraskevopoulos, T.
Affiliations:
ΕSRA Hellas, Department of Anesthesiology, Athens, Greece
,
Siafaka, I.
Affiliations:
Aretaieion Hospital- Medical School- National and Kapodistrian University of Athens, Department of Anesthesiology and Pain Medicine, Athens, Greece
,
Stavropoulou, E.
Affiliations:
KAT General Hospital, Department of Anesthesiology, Athens, Greece
Argyra, E.
Affiliations:
Aretaieion Hospital- Medical School- National and Kapodistrian University of Athens, Department of Anesthesiology and Pain Medicine, Athens, Greece
ESRA Academy. Theodoraki K. Sep 13, 2017; 190820
Topic: REGIONAL ANAESTHESIA (RA) IN SPECIFIC SUBPOPULATIONS
Dr. Kassiani Theodoraki
Dr. Kassiani Theodoraki

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Abstract
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Background and Aims:

Data regarding the nationwide use of Regional Anesthesia (RA)  in obstetrics is sparse. The aim of this survey was to record the use of neuraxial anaesthesia/analgesia for obstetrics in Greek public hospitals and compare the practices between Athens and periphery.

Methods:

A nationwide descriptive survey was conducted between March-August, 2016. A structured questionnaire was sent to 50 Anesthesia Departments in National Health System (NHS) Hospitals with obstetric units of all geographical regions of Greece. Comparisons were made with chi-square or Fisher’s exact test.

Results:

The response rate was 94%. Data corresponded to 9475 cesarean deliveries (CDs) and 8155 vaginal deliveries (VDs); 3546 CDs/ 2842 VDs in Athens and 5929 CDs/ 5313 VDs in periphery.

RA was used in 69.2% of CDs (77.1% in Athens versus 64.5% in periphery, p<0.001). Spinal anesthesia was used in 44.3% of all CDs (36.1% in Athens versus 49.2% in periphery, p<0.001). Combined spinal-epidural anesthesia was used in 18.1% of all CDs (35.1% in Athens versus 7.9% in periphery, p<0.001).

Labour Epidural Analgesia was used in 19.1% of all VDs (30.3% in Athens versus 13.1% in periphery, p<0.001). Remifentanil IV was used in 10.6% of hospitals (50% of Athens’ versus 2.5% of peripheral hospitals, p=0.002). In 48.9% of hospitals the anesthesiologists are not involved with labour analgesia (12.5% of Athens’ versus 56.4% of peripheral hospitals, p=0.048).

Conclusions:

RA represents the most common practice for CDs in Greek NHS hospitals, but the use of labour epidural analgesia is quite limited, especially in regional hospitals.

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