About: A retrospective review of 10-year trends in general anesthesia for cesarean delivery at a university hospital: the impact of a newly launched team on obstetric anesthesia practice

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About: A retrospective review of 10-year trends in general anesthesia for cesarean delivery at a university hospital: the impact of a newly launched team on obstetric anesthesia practice Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	A retrospective review of 10-year trends in general anesthesia for cesarean delivery at a university hospital: the impact of a newly launched team on obstetric anesthesia practice
Creator	Araki, Yuko Bougaki, Masahiko Chang, Kyungho Ikeda, Takamitsu Imai, Yousuke Kato, Atsuko Kawashima, Seiichiro Ninagawa, Jun Oba, Koji Ohata, Takuya Uchida, Kanji Yamada, Yoshitsugu
Source	PMC
abstract	BACKGROUND: The indications for general anesthesia (GA) in obstetric settings, which are determined in consideration of maternal and fetal outcome, could be affected by local patterns of clinical practice grounded in unique situations and circumstances that vary among medical institutions. Although the use of GA for cesarean delivery has become less common with more frequent adoption of neuraxial anesthesia, GA was previously chosen for pregnancy with placenta previa at our institution in case of unexpected massive hemorrhage. However, the situation has been gradually changing since formation of a team dedicated to obstetric anesthesia practice. Here, we report the results of a review of all cesarean deliveries performed under GA, and assess the impact of our newly launched team on trends in clinical obstetric anesthesia practice at our institution. METHODS: Our original database for obstetric GA during the period of 2010 to 2019 was analyzed. The medical records of all parturients who received GA for cesarean delivery were reviewed to collect detailed information. Interrupted time series analysis was used to evaluate the impact of the launch of our obstetric anesthesia team. RESULTS: As recently as 2014, more than 10% of cesarean deliveries were performed under GA, with placenta previa accounting for the main indication in elective and emergent cases. Our obstetric anesthesia team was formed in 2015 to serve as a communication bridge between the department of anesthesiology and the department of obstetrics. Since then, there has been a steady decline in the percentage of cesarean deliveries performed under GA, decreasing to a low of less than 5% in the latest 2 years. Interrupted time series analysis revealed a significant reduction in obstetric GA after 2015 (P = 0.04), which was associated with decreased use of GA for pregnancy with placenta previa. On the other hand, every year has seen a number of urgent cesarean deliveries requiring GA. CONCLUSIONS: There has been a trend towards fewer obstetric GA since 2015. The optimized use of GA for cesarean delivery was made possible mainly through strengthened partnerships between anesthesiologists and obstetricians with the support of our obstetric anesthesia team.
has issue date	2020-05-13(xsd:dateTime)
bibo:doi	10.1186/s12913-020-05314-2
bibo:pmid	32404093
has license	cc-by
sha1sum (hex)	b49e3a4eb680c753d7d9ae2ac45495e1f1c4fdc3
schema:url	https://doi.org/10.1186/s12913-020-05314-2
resource representing a document's title	A retrospective review of 10-year trends in general anesthesia for cesarean delivery at a university hospital: the impact of a newly launched team on obstetric anesthesia practice
has PubMed Central identifier	PMC7371464
has PubMed identifier	32404093
schema:publication	BMC Health Serv Res
resource representing a document's body	covid:b49e3a4eb680c753d7d9ae2ac45495e1f1c4fdc3#body_text
is schema:about of	named entity 'DEDICATED' named entity 'FETAL OUTCOME' named entity 'COMMON' named entity 'LOCAL' named entity 'cesarean delivery' named entity 'general anesthesia' named entity 'thiopental' named entity 'blood loss' named entity 'cesarean delivery' named entity 'obstetric hemorrhage' named entity 'cesarean deliveries' named entity 'life-threatening' named entity 'sugammadex' named entity 'placenta previa' named entity 'intraoperative' named entity 'total hysterectomy' named entity 'anesthesiologist' named entity 'Internal iliac artery' named entity 'potential complications' named entity 'cesarean delivery' named entity 'anesthesiologists' named entity 'cesarean delivery' named entity 'fetal' named entity 'hypertensive disorders of pregnancy' named entity 'vaginal delivery' named entity 'anesthetic' named entity 'fetal' named entity 'Institutional Review Board' named entity 'peripartum' named entity 'morbidity' named entity 'comorbidities' named entity 'placenta previa' named entity 'infection' named entity 'cesarean delivery' named entity 'obstetric anesthesia' named entity '1, 2' named entity 'cesarean deliveries' named entity 'anesthetic' named entity 'anesthesiology' named entity 'high-risk' named entity 'prolapse' named entity 'anesthesia' named entity 'oxygen saturation' named entity 'placental' named entity 'nondepolarizing' named entity 'obstetric' named entity 'obstetric anesthesia' named entity 'anesthesiology' named entity 'amniotic fluid embolism' named entity 'cesarean delivery' named entity 'fetus' named entity 'Placental abruption' named entity 'risk factors' named entity 'parturient' named entity 'obstetric' named entity 'cesarean deliveries' named entity 'massive hemorrhage' named entity 'sugammadex' named entity 'general anesthesia' named entity 'fetal' named entity 'cesarean deliveries' named entity 'Succinylcholine' named entity 'obstetric' named entity 'obstetric' named entity 'cesarean deliveries' named entity 'multi-disciplinary team' named entity 'cesarean deliveries' named entity 'airway management' named entity 'cesarean delivery' named entity 'comorbidities'

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