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@article{1299852,
author = {Štourač, Petr and Blaha, Jan and Klozova, Radka and Noskova, Pavlina and Seidlová, Dagmar and Brožová, Lucie and Jarkovský, Jiří},
article_location = {Cleveland},
article_number = {6},
doi = {http://dx.doi.org/10.1213/ANE.0000000000000572},
keywords = {general anesthesia; neuroaxial anesthesia; cesarean delivery},
language = {eng},
issn = {0003-2999},
journal = {Anesthesia and Analgesia},
title = {Anesthesia for Cesarean Delivery in the Czech Republic: A 2011 National Survey},
volume = {120},
year = {2015}
}
TY - JOUR
ID - 1299852
AU - Štourač, Petr - Blaha, Jan - Klozova, Radka - Noskova, Pavlina - Seidlová, Dagmar - Brožová, Lucie - Jarkovský, Jiří
PY - 2015
TI - Anesthesia for Cesarean Delivery in the Czech Republic: A 2011 National Survey
JF - Anesthesia and Analgesia
VL - 120
IS - 6
SP - 1303-1308
EP - 1303-1308
PB - Lippincott Williams & Wilkins
SN - 00032999
KW - general anesthesia
KW - neuroaxial anesthesia
KW - cesarean delivery
N2 - BACKGROUND: The purpose of this national survey was to determine current anesthesia practices for cesarean delivery in the Czech Republic. METHODS: In November 2011, we invited all departments of obstetric anesthesia in the Czech Republic to participate in a prospective study to monitor consecutive peripartum obstetric anesthesia procedures. Data were recorded online in the TrialDB database (Yale University, New Haven, CT). RESULTS: The response rate was 51% (49 of 97 departments); participating centers represented 60% of all births in the country during the study period. There were 1943 cases of peripartum anesthesia care, of which 1166 cases (60%) were anesthesia for cesarean delivery. Estimates were weighted based on population distribution of cesarean delivery among types of participating centers. Neuraxial anesthesia was used in 55.6% (95% confidence interval [CI], 52.8%–58.5%); the distribution of anesthesia techniques differed among type of participating center. The rate of neuraxial anesthesia in university hospitals was 55.6% (95% CI, 51.5%–59.6%), 32.4% (95% CI, 26.4%–39.0%) in regional hospitals, and 60.7% (95% CI, 55.2%–66.0%) in local hospitals. The reasons for cesarean delivery under general anesthesia were emergency procedure (67%), refusal of neuraxial blockade by parturient (30%), failure of neuraxial anesthesia (6%), and preoperative administration of low-molecular-weight heparin (3%). Postcesarean analgesia was primarily provided by systemic opioid (66%) and nonopioid analgesics (61%), solely or in combination. Epidural postoperative analgesia was used in 14% of cases. Compared with national neuraxial anesthesia rate data published in the 1990s (6.7% in 1993), there has been an upward trend in the use of neuraxial anesthesia for cesarean delivery during the 21st century (40.5% in 2000) in the Czech Republic. CONCLUSIONS: The rate of neuraxial anesthesia use for cesarean delivery has increased in the Czech Republic in the last 2 decades.
ER -
ŠTOURAČ, Petr, Jan BLAHA, Radka KLOZOVA, Pavlina NOSKOVA, Dagmar SEIDLOVÁ, Lucie BROŽOVÁ and Jiří JARKOVSKÝ. Anesthesia for Cesarean Delivery in the Czech Republic: A 2011 National Survey. \textit{Anesthesia and Analgesia}. Cleveland: Lippincott Williams \&{} Wilkins, 2015, vol.~120, No~6, p.~1303-1308. ISSN~0003-2999. Available from: https://dx.doi.org/10.1213/ANE.0000000000000572.
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