A Retrospective Investigation of Neuraxial Anesthesia Rates for Elective Cesarean Delivery Before and During the SARS-CoV-2 Pandemic.
Adult
Anesthesia, Conduction
/ methods
Anesthesia, General
/ methods
Anesthesia, Obstetrical
/ methods
Arabs
/ psychology
COVID-19
/ epidemiology
Cesarean Section
/ methods
Delivery Rooms
/ organization & administration
Elective Surgical Procedures
/ methods
Female
Humans
Infection Control
/ methods
Israel
/ epidemiology
Organizational Innovation
Pregnancy
Procedures and Techniques Utilization
/ statistics & numerical data
Retrospective Studies
Treatment Refusal
/ ethnology
Journal
The Israel Medical Association journal : IMAJ
ISSN: 1565-1088
Titre abrégé: Isr Med Assoc J
Pays: Israel
ID NLM: 100930740
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
entrez:
12
7
2021
pubmed:
13
7
2021
medline:
20
7
2021
Statut:
ppublish
Résumé
Our hospital used to perform cesarean delivery under general anesthesia rather than neuraxial anesthesia, mostly because of patient refusal of members of the conservative Bedouin society. According to recommendations implemented by the Israeli Obstetric Anesthesia Society, which were implemented due to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic, we increased the rate of neuraxial anesthesia among deliveries. To compare the rates of neuraxial anesthesia in our cesarean population before and during SARS-CoV-2 pandemic. We included consecutive women undergoing an elective cesarean delivery from two time periods: pre-SARS-CoV-2 pandemic (15 February 2019 to 14 April 2019) and during the SARS-CoV-2 pandemic (15 February 2020 to 15 April 2020). We collected demographic data, details about cesarean delivery, and anesthesia complications. We included 413 parturients undergoing consecutive elective cesarean delivery identified during the study periods: 205 before the SARS-CoV-2 pandemic and 208 during SARS-CoV-2 pandemic. We found a statistically significant difference in neuraxial anesthesia rates between the groups: before the pandemic (92/205, 44.8%) and during (165/208, 79.3%; P < 0.0001). We demonstrated that patient and provider education about neuraxial anesthesia can increase its utilization. The addition of a trained obstetric anesthesiologist to the team may have facilitated this transition.
Sections du résumé
BACKGROUND
BACKGROUND
Our hospital used to perform cesarean delivery under general anesthesia rather than neuraxial anesthesia, mostly because of patient refusal of members of the conservative Bedouin society. According to recommendations implemented by the Israeli Obstetric Anesthesia Society, which were implemented due to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic, we increased the rate of neuraxial anesthesia among deliveries.
OBJECTIVES
OBJECTIVE
To compare the rates of neuraxial anesthesia in our cesarean population before and during SARS-CoV-2 pandemic.
METHODS
METHODS
We included consecutive women undergoing an elective cesarean delivery from two time periods: pre-SARS-CoV-2 pandemic (15 February 2019 to 14 April 2019) and during the SARS-CoV-2 pandemic (15 February 2020 to 15 April 2020). We collected demographic data, details about cesarean delivery, and anesthesia complications.
RESULTS
RESULTS
We included 413 parturients undergoing consecutive elective cesarean delivery identified during the study periods: 205 before the SARS-CoV-2 pandemic and 208 during SARS-CoV-2 pandemic. We found a statistically significant difference in neuraxial anesthesia rates between the groups: before the pandemic (92/205, 44.8%) and during (165/208, 79.3%; P < 0.0001).
CONCLUSIONS
CONCLUSIONS
We demonstrated that patient and provider education about neuraxial anesthesia can increase its utilization. The addition of a trained obstetric anesthesiologist to the team may have facilitated this transition.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM