Abstract
BackgroundThe present anonymous multicenter online survey was conducted to evaluate the application of regional anaesthesia techniques as well as the used local anaesthetics and adjuncts at German and Austrian university hospitals.Methods39 university hospitals were requested to fill in an online questionnaire, to determine the kind of regional anaesthesia and preferred drugs in urology, obstetrics and gynaecology.Results33 hospitals responded. No regional anaesthesia is conducted in 47% of the minor gynaecological and 44% of the urological operations; plain bupivacaine 0.5% is used in 38% and 47% respectively. In transurethral resections of the prostate and bladder no regional anaesthesia is used in 3% of the responding hospitals, whereas plain bupivacaine 0.5% is used in more than 90%. Regional anaesthesia is only used in selected major gynaecological and urological operations. On the contrary to the smaller operations, the survey revealed a large variety of used drugs and mixtures. Almost 80% prefer plain bupivacaine or ropivacaine 0.5% in spinal anaesthesia in caesarean section. Similarly to the use of drugs in major urological and gynaecological operations a wide range of drugs and adjuncts is used in epidural anaesthesia in caesarean section and spontaneous delivery.ConclusionsOur results indicate a certain agreement in short operations in spinal anaesthesia. By contrast, a large variety concerning the anaesthesiological approach in larger operations as well as in epidural analgesia in obstetrics could be revealed, the causes of which are assumed to be primarily rooted in particular departmental structures.
Highlights
The present anonymous multicenter online survey was conducted to evaluate the application of regional anaesthesia techniques as well as the used local anaesthetics and adjuncts at German and Austrian university hospitals
The present anonymous online survey at German and Austrian university hospitals was conducted to evaluate the application of regional anaesthesia techniques and preferred local anaesthetics with concentrations used, including possible adjuvants, for common operations in urology, gynaecology and obstetrics
Our results suggest that there exists some consensus regarding the techniques of regional anaesthesia that are considered useful for specific procedures with a predefined duration in urology, gynaecology and obstetrics
Summary
The present anonymous multicenter online survey was conducted to evaluate the application of regional anaesthesia techniques as well as the used local anaesthetics and adjuncts at German and Austrian university hospitals. Regional anaesthesia as an alternative to general anaesthesia or to supplement general anaesthesia has become a popular procedure in clinical anaesthesiology. The development of different local anaesthetics and various techniques in regional anaesthesia had been boosted by the growing interest in regional anaesthesia due to its effective pain relief without compromising the patient's consciousness and improved patient comfort. It has been influenced by the implementation of perioperative anaesthesia standards and the increasing aware-. These guidelines or standard operating procedures (SOP) usually cover the technique itself, and the substances to be used at first instance. Clinical practice and standard operating procedures do not necessarily reflect pure scientific evidence; there might be a gap between scientific evidence and current clinical standards
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