Spinal Anaesthesia Failure among Women Undergoing Caesarean Section in Kirtipur Hospital

Authors

  • PK Rajbhandari Department of Anaesthesiology, Kirtipur Hospital, Kathmandu
  • P Pradhan Department of Obstetrics and Gynaecology, Kirtipur Hospital, Kathmandu
  • G Dangal Department of Obstetrics and Gynaecology, Kathmandu Model Hospital, Kathmandu

Keywords:

caesarean section, failure rate, spinal anaesthesia.

Abstract

Aims: This study was done to find out the spinal anaesthesia failure rate necessitating the conversion to general anaesthesia and use of intraoperative supplemental analgesia. 

Methods: This was a retrospective study undertaken in Kirtipur hospital in 660 patients. Spinal anaesthesia (0.5% heavy bupivacaine 2.2 ml) was given to women who had undergone elective or emergency caesarean section from January 2009 to December 2013. 

Results: In this study spinal anaesthesia failure rate was 1.66% (n=11/660). Among them complete failed spinal anaesthesia rate was 0.75% (n=5/660) requiring conversion to general anaesthesia. Intraoperative supplemental analgesic and sedation like pethidine, ketamine or midazolam was required in 0.90% (n=6/660). 

Conclusions: The failure rate of spinal anaesthesia given for caesarean section was low (1.66%) and it was within the acceptable range.

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Published

2015-08-17

How to Cite

Rajbhandari, P., Pradhan, P., & Dangal, G. (2015). Spinal Anaesthesia Failure among Women Undergoing Caesarean Section in Kirtipur Hospital. Nepal Journal of Obstetrics and Gynaecology, 10(1), 36–38. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/13193

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Section

Original Articles