Anaesthesia practices for Caesarean section amongst non-physician anaesthesia providers at an Ethiopian referral hospital
Domaine:
healthcareCréateur:
VicGebJol
Éditeur:
SAG
Hôte:
Sub-Saharan Africa faces high rates of maternal mortality and there is an urgent need to reduce this. Shortfalls in access to safe surgery and anaesthetic care result in avoidable maternal death. Providing quality training to anaesthesia providers is of key importance to reduce mortality. This mixed-methods prospective study incorporated workplace observations of anaesthesia for Caesarean section, a paper-based questionnaire and semi-structured, face-to-face interviews in Felege Hiwot Referral Hospital in Ethiopia.
A total of 67 Caesarean section cases under spinal anaesthesia provided by 12 non-physician anaesthetists were observed and a 92% ( n = 11) response rate to questionnaires obtained. Deficiencies were observed in communication, pre-operative assessment, spinal height evaluation and application of lateral tilt, while interviews revealed anaesthesia provider perceptions of hierarchy within the surgical team and deficiency in anticipation of potential complications. This study suggests that focusing on communication and anticipation of complications could aid providers in preventing and preparing for complications.
Similaires
A survey of anaesthesia practices at all hospitals performing caesarean sections in Sierra LeoneA randomized controlled trial comparing haemodynamic stability in elderly patients undergoing spinal anaesthesia at L5, S1 versus spinal anaesthesia at L3, 4 at a tertiary African hospital.Burnout among Anaesthesia Providers in Sub-Saharan Africa: A Scoping ReviewMixed methods analysis of factors influencing change in clinical behaviours of non‐physician anaesthetists in Kenya following obstetric anaesthesia trainingFactors Associated with Caesarean Section Among Women Delivered at Kirehe District HospitalEfficacy and Safety of Intravenous Ketamine Anaesthesia in a Suburban Nigerian Hospital