Document Detail


Category-1 caesarean section: a survey of anaesthetic and peri-operative management in the UK.
MedLine Citation:
PMID:  20402875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A national survey of anaesthetic and peri-operative management of category-1 caesarean section was sent to 245 consultant-led maternity units. There was a 70% response rate. The median (IQR [range]) general anaesthetic rate was 51% (29%-80% [6%-100%]), 12% (9%-16% [3%-93%]), 4% (2%-5% [<1%-18%]), for category-1 caesarean section, categories 1-3 (non-elective/emergency) and category-4 (elective) caesarean section, respectively. The main operating theatre for caesarean section is on the delivery suite in 151 (88%) units, and 112 (66%) units also have a second theatre in the same location. One hundred and thirty-nine (81%) use the standard urgency classification described in the NICE caesarean section guideline. However, only 72 (42%), 24 (14%), and 16 (9%) units comply with this guideline's recommended decision-delivery intervals for category-1 (< or = 30 min), category-2 (< or = 30 min) and category-3 (< or = 75 min) caesarean sections, respectively. Practice in the smaller units was similar to that in the larger units, although there was less availability of a dedicated anaesthetist, intra-uterine resuscitation guidelines and operating theatres on the delivery suite in the smaller units.
Authors:
S M Kinsella; B Walton; R Sashidharan; T Draycott
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Anaesthesia     Volume:  65     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-20     Completed Date:  2010-05-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  362-8     Citation Subset:  AIM; IM    
Affiliation:
St Michael's Hospital, Bristol, UK. Stephen.Kinsella@uhbristol.nhs.uk <Stephen.Kinsella@uhbristol.nhs.uk>
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Conduction / utilization
Anesthesia, General / utilization
Anesthesia, Obstetrical / methods*
Cesarean Section* / utilization
Delivery, Obstetric / statistics & numerical data
Emergencies
Female
Great Britain
Health Care Surveys
Humans
Operating Rooms / organization & administration,  statistics & numerical data
Perioperative Care / methods*
Practice Guidelines as Topic
Pregnancy
Professional Practice / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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