ŠTOURAČ, Petr, J. BLAHA, P. NOSKOVA, R. KLOZOVA, Dagmar SEIDLOVÁ, M. GROCHOVA, Martina KOSINOVÁ, Jiří JARKOVSKÝ, Hana ZELINKOVÁ, Daniel SCHWARZ, Michal SVOBODA, S. RICHTEROVA, Olga SMÉKALOVÁ, B. ZAORALOVA, Z. MROZEK, Z. KRUPKOVA, L. VECERA, H. IVANKOVA, A. MAGYAROVA, J. SIMONOVA and J. FIRMENT. Časná poporodní anestezie v České a Slovenské republice z pohledu studie OBAAMA-INT – prospektivní observační studie (Anaesthesia for minor surgery in the early postpartum period - Czech and Slovak prospective national surveys). Anesteziologie a intenzivní medicína. Praha: Česká lékařská společnost J.E. Purkyně, 2019, vol. 30, No 2, p. 72-79. ISSN 1214-2158.
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Basic information
Original name Časná poporodní anestezie v České a Slovenské republice z pohledu studie OBAAMA-INT – prospektivní observační studie
Name (in English) Anaesthesia for minor surgery in the early postpartum period - Czech and Slovak prospective national surveys
Authors ŠTOURAČ, Petr (203 Czech Republic, belonging to the institution), J. BLAHA (203 Czech Republic), P. NOSKOVA (203 Czech Republic), R. KLOZOVA (203 Czech Republic), Dagmar SEIDLOVÁ (203 Czech Republic), M. GROCHOVA (703 Slovakia), Martina KOSINOVÁ (203 Czech Republic, guarantor, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Hana ZELINKOVÁ (203 Czech Republic, belonging to the institution), Daniel SCHWARZ (203 Czech Republic, belonging to the institution), Michal SVOBODA (203 Czech Republic, belonging to the institution), S. RICHTEROVA (703 Slovakia), Olga SMÉKALOVÁ (203 Czech Republic, belonging to the institution), B. ZAORALOVA (203 Czech Republic), Z. MROZEK (203 Czech Republic), Z. KRUPKOVA (203 Czech Republic), L. VECERA (203 Czech Republic), H. IVANKOVA (703 Slovakia), A. MAGYAROVA (203 Czech Republic), J. SIMONOVA (203 Czech Republic) and J. FIRMENT (203 Czech Republic).
Edition Anesteziologie a intenzivní medicína, Praha, Česká lékařská společnost J.E. Purkyně, 2019, 1214-2158.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30223 Anaesthesiology
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/19:00110187
Organization unit Faculty of Medicine
UT WoS 000471310500005
Keywords in English postpartum anaesthesia; anaesthetic agents; airway management
Tags 14110233, 14110322, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/5/2020 09:45.
Abstract
Cíl studie: Zjistit aktuální anesteziologickou praxi pro výkony v časném poporodním období v České republice (ČR) a na Slovensku (SR). Typ studie: Prospektivní observační mezinárodní. Pracoviště: Sto pět pracovišť v ČR a SR poskytujících anestezii v peripartálním období. Materiál a metoda: Se souhlasem Etické komise jsme oslovili všech 149 pracovišť poskytujících anestezii v peripartálním období v ČR i SR s cílem zachytit všechny případy podání anestezie v peripartálním období v listopadu 2015. Data byla zadávána elektronickým záznamem se dvěma částmi (Demografie 2014 a Podání anestezie) do databáze vytvořené v systému CLADE-IS. Soubor dat byl analyzován deskriptivně s použitím softwaru SPSS24.
Abstract (in English)
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.
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