COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Current Issue

Year 2020

Volume: 7 , Issue: 1

Article Access statistics

Viewed: 624

Emailed: 0

PDF Downloaded: 232

Indian Journal of Clinical Anaesthesia


A prospective, observational audit of failed regional anaesthesia in 4085 caesarean sections at a tertiary care hospital


Full Text PDF Share on Facebook Share on Twitter


Author Details : Seema Partani, Yogendra Singhal, Sunanda Gupta

Volume : 5, Issue : 1, Year : 2018

Article Page : 50-55


Suggest article by email

Abstract

Introduction: A prospective observational study was conducted in 4085 caesarean sections performed under Regional anaesthesia (RA) from February 2014 to January 2017 in tertiary care centre. The incidence and various contributing factors leading to total or partial failure of RA and the conversion rate to GA were determined.
Materials and Methods: All parturients posted for elective or emergency caesarean section received 10-12 mg 0.5% of hyperbaric bupivacaine added to 25 µg of inj. Fentanyl, administered through a 25-27G Whitacre needle. A structured proforma was prepared to note the demographic data, type of RA, insertion position, position after insertion, local anesthetic volume, loss of sensation to pin prick and grade of motor block.
Results: In this 3 year period 4085 CS were performed, out of which 4054 (99.27%) were conducted under RA, [4034 (99.5%) under spinal anesthesia, 14 (0.34%) under CSE and 6 (0.14%) under epidural]. 30 (0.73%) cases received GA primarily, the incidence of conversion rate from neuroaxial anesthesia to GA was 100 (2.5%) out of which 1.77% were of elective surgery and 3.1% were in emergency surgery. Partial failure occurred in 1.68% and complete failure in 0.79% patients. Spinal failure occurred due to anesthetic factors like early start of surgery, before establishment of adequate block, inadequate dose of LA, inappropriate recording of block, ineffective batch of drug and technical or surgical factors.
Conclusion: Minimizing the incidence of block failure requires close attention to minute details.

Keywords: Failed Spinal, Failed Intubation, Regional Anesthesia.

Doi : 10.18231/2394-4994.2018.0009

How to cite : Partani S, Singhal Y, Gupta S, A prospective, observational audit of failed regional anaesthesia in 4085 caesarean sections at a tertiary care hospital. Indian J Clin Anaesth 2018;5(1):50-55

Copyright © 2018 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)