Abstract
BackgroundPulmonary aspiration is one of the most important complications of obstetric anesthesia. Prevention of pulmonary aspiration is commonly performed by the application of different anesthetic maneuvers and administration of drugs. This study aimed to assess the non-physician anesthetic providers current practice of aspiration prophylaxis during anesthesia for cesarean section in Ethiopia.MethodsThis survey study was conducted from October 01 to November 05, 2020, on a total of 490 anesthetic providers working in hospitals in Ethiopia. A structured checklist was used to collect data from non-physician anesthetic providers.ResultsFour hundred and ninety (490) anesthetic providers participated in our study. The majority of the respondents (84%) were working in the public sector. Most of the cesarean delivery was done under regional anesthesia and more than half of anesthetic providers in Ethiopia administered aspiration prophylaxis routinely. Metoclopramide was the most frequently given as a prophylaxis for pulmonary aspiration.ConclusionsMore than half of the anesthetic providers administered aspiration prophylaxis routinely. Metoclopramide was the commonest administered aspiration prophylaxis for parturients who underwent cesarean delivery to prevent aspiration.
Highlights
Cesarean section (CS) was introduced in clinical practice as a life-saving procedure both for the mother and the baby [1]
Studies conducted in Ethiopia revealed that about 30% of cesarean deliveries were developed complications after anesthesia [8] and others studies indicated that over half of cesarean deliveries were performed under general anesthesia [9, 10]
Metoclopramide was the most commonly administered as a prophylaxis for pulmonary aspiration (Table 2, Figs. 1 and 2)
Summary
Cesarean section (CS) was introduced in clinical practice as a life-saving procedure both for the mother and the baby [1]. Most CS is done under regional anesthesia techniques [2, 3]. It has not without a public health concern as it is associated with morbidity and mortality [4]. Pulmonary aspiration is one of the most important complications of obstetric anesthesia. Prevention of pulmonary aspiration is commonly performed by the application of different anesthetic maneuvers and administration of drugs.
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