Use of local anaesthetics and adjuncts for spinal and epidural anaesthesia and analgesia at German and Austrian University Hospitals: an online survey to assess current standard practice

BMC Anesthesiology

Research Article

Peter Kranke¹  Norbert Roewer²  Bianca M Wahlen³ 

[1] Consultant, University of Wuerzburg, Department of Anaesthesia and Critical Care, Wuerzburg, Germany;Professor and Chair, University of Wuerzburg, Department of Anaesthesia and Critical Care, Wuerzburg, Germany;Staff Anaesthesiologist, University of Wuerzburg, Department of Anaesthesia and Critical Care, Wuerzburg, Germany;

关键词: Bupivacaine;    Local Anaesthetic;    Spinal Anaesthesia;    Ropivacaine;    Epidural Analgesia;   

DOI  :  10.1186/1471-2253-10-4

 received in 2009-06-13, accepted in 2010-04-17,  发布年份 2010

来源: Springer

【 摘 要 】

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.

【 授权许可】

CC BY   
© Wahlen et al; licensee BioMed Central Ltd. 2010