A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery
The aim of this survey was to review cesarean delivery anesthetic practices. An online survey was sent to members of the Society of Obstetric Anesthesia and Perinatology (SOAP). The mode of anesthesia, preferred neuraxial local anesthetic and opioid agents, postoperative analgesic regimens, and moni...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2009/510642 |
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| author | Leinani Aiono-Le Tagaloa Alexander J. Butwick Brendan Carvalho |
| author_facet | Leinani Aiono-Le Tagaloa Alexander J. Butwick Brendan Carvalho |
| author_sort | Leinani Aiono-Le Tagaloa |
| collection | DOAJ |
| description | The aim of this survey was to review cesarean delivery anesthetic practices. An online survey was sent to members of the Society of Obstetric Anesthesia and Perinatology (SOAP). The mode of anesthesia, preferred neuraxial local anesthetic and opioid agents, postoperative analgesic regimens, and monitoring modalities were assessed. 384 responses from 1,081 online survey requests were received (response rate = 36%). Spinal anesthesia is most commonly used for elective cesarean delivery (85% respondents), with 90% of these respondents preferring hyperbaric bupivacaine 0.75%. 79% used intrathecal fentanyl and 77% used morphine (median [range] dose 200 mcg [50–400]). 91% use respiratory rate, 61% use sedation scores, and 30% use pulse oximetry to monitor for postoperative respiratory depression after administration of neuraxial opioids. Postoperative analgesic regimens include: nonsteroidal anti-inflammatory agents, acetaminophen, oxycodone, and hydrocodone by 81%, 45%, 25%, and 27% respondents respectively. The majority of respondents use spinal anesthesia and neuraxial opioids for cesarean delivery anesthesia. There is marked variability in practices for monitoring respiratory depression postdelivery and for providing postoperative analgesia. These results may not be indicative of overall practice in the United States due to the select group of anesthesiologists surveyed and the low response rate. |
| format | Article |
| id | doaj-art-718bbad0f8f84c49ae44c8ae9477530d |
| institution | OA Journals |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-718bbad0f8f84c49ae44c8ae9477530d2025-08-20T02:06:32ZengWileyAnesthesiology Research and Practice1687-69621687-69702009-01-01200910.1155/2009/510642510642A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean DeliveryLeinani Aiono-Le Tagaloa0Alexander J. Butwick1Brendan Carvalho2Department of Anesthesia, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USADepartment of Anesthesia, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USADepartment of Anesthesia, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USAThe aim of this survey was to review cesarean delivery anesthetic practices. An online survey was sent to members of the Society of Obstetric Anesthesia and Perinatology (SOAP). The mode of anesthesia, preferred neuraxial local anesthetic and opioid agents, postoperative analgesic regimens, and monitoring modalities were assessed. 384 responses from 1,081 online survey requests were received (response rate = 36%). Spinal anesthesia is most commonly used for elective cesarean delivery (85% respondents), with 90% of these respondents preferring hyperbaric bupivacaine 0.75%. 79% used intrathecal fentanyl and 77% used morphine (median [range] dose 200 mcg [50–400]). 91% use respiratory rate, 61% use sedation scores, and 30% use pulse oximetry to monitor for postoperative respiratory depression after administration of neuraxial opioids. Postoperative analgesic regimens include: nonsteroidal anti-inflammatory agents, acetaminophen, oxycodone, and hydrocodone by 81%, 45%, 25%, and 27% respondents respectively. The majority of respondents use spinal anesthesia and neuraxial opioids for cesarean delivery anesthesia. There is marked variability in practices for monitoring respiratory depression postdelivery and for providing postoperative analgesia. These results may not be indicative of overall practice in the United States due to the select group of anesthesiologists surveyed and the low response rate.http://dx.doi.org/10.1155/2009/510642 |
| spellingShingle | Leinani Aiono-Le Tagaloa Alexander J. Butwick Brendan Carvalho A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery Anesthesiology Research and Practice |
| title | A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery |
| title_full | A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery |
| title_fullStr | A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery |
| title_full_unstemmed | A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery |
| title_short | A Survey of Perioperative and Postoperative Anesthetic Practices for Cesarean Delivery |
| title_sort | survey of perioperative and postoperative anesthetic practices for cesarean delivery |
| url | http://dx.doi.org/10.1155/2009/510642 |
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