Document Detail


Obstetrical epidural anaesthesia in a rural Canadian hospital.
MedLine Citation:
PMID:  1563063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Few rural hospitals offer obstetric epidural analgesia services and of those that do, there is a paucity of information about these anaesthetics. A retrospective review was conducted of all obstetrical epidurals from 1984-1988 in an 85-bed hospital in Saskatchewan to examine the indications, complications, and infant outcomes. During that period there were 1224 deliveries. From a total of 915 vaginal deliveries, 42 (4.6%) received an epidural. Caesarean sections numbered 309: 183 (59.3%) were with epidural analgesia of which 69 were urgent and 114 elective. The overall complication rate was 23% with the most important being hypotension (12%), dural punctures (1.8%), inadequate block requiring an intravenous supplement (4.0%) or a general anaesthetic (3.1%). Infant outcomes were favourable except for two unrelated intra-uterine deaths preceding labour.
Authors:
R J Webb; G S Kantor
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  39     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  390-3     Citation Subset:  IM    
Affiliation:
Melfort Union Hospital, Saskatchewan, Canada.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Epidural / adverse effects,  methods,  statistics & numerical data*
Anesthesia, Obstetrical / adverse effects,  methods,  statistics & numerical data*
Apgar Score
Bupivacaine
Cesarean Section / statistics & numerical data
Female
Hospitals, Rural / statistics & numerical data*
Humans
Infant, Newborn
Labor, Obstetric
Lidocaine
Pregnancy
Saskatchewan / epidemiology
Chemical
Reg. No./Substance:
137-58-6/Lidocaine; 2180-92-9/Bupivacaine

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


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