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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multicentre observational study*
Anaesthesia, Volume 76, No. 4, Year 2021
Notification
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Description
There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients’ (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16–22) and failed intubation in 1 in 312 (95%CI 1 in 169–667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%). © 2020 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.
Authors & Co-Authors
Moonesinghe, Suneetha Ramani
United Kingdom, London
University College London Hospitals Nhs Foundation Trust
Andrade, Jackie
United Kingdom, Plymouth
University of Plymouth
Pandit, Jaideep J.
United Kingdom, Oxford
University of Oxford Medical Sciences Division
Lucas, Dominique Nuala
United Kingdom, Harrow
Northwick Park Hospital
Adamson, Christine C.D.
Unknown Affiliation
Adeyeye, Ademola A.
Unknown Affiliation
Baird, Yolanda
Unknown Affiliation
Baldwin, Matthew R.
Unknown Affiliation
Blagova, Tatyana
Unknown Affiliation
Bowen, Mary P.
Unknown Affiliation
Carvalho, José Carlos Almeida
Unknown Affiliation
Feneley, Andrew
Unknown Affiliation
Funnell, Sarah
Unknown Affiliation
Hammond, Sarah Jane
Unknown Affiliation
Henry, Orion
Unknown Affiliation
Higgins, Nicola
Unknown Affiliation
Hussein, Zanariah
Unknown Affiliation
James, Michael Frank M.
Unknown Affiliation
Kaye, Richard Mugula
Unknown Affiliation
Lucas, Nuala
Unknown Affiliation
Mackenzie, Matthew J.
Unknown Affiliation
McCarthy, Robert J.
Unknown Affiliation
McCready, Sharon
Unknown Affiliation
Mohamed, Mona Ali
Unknown Affiliation
Mupudzi, McDonald
Unknown Affiliation
Nolan, Terry M.
Unknown Affiliation
Osagie, Olabisi O.
Unknown Affiliation
Palani, P. Bahavan
Unknown Affiliation
Pandey, Roshan
Unknown Affiliation
Patel, Harsh P.
Unknown Affiliation
Prenter, Andrew
Unknown Affiliation
Pritchard, Naomi
Unknown Affiliation
Ramage, Stephen
Unknown Affiliation
Roberts, Fiona R.
Unknown Affiliation
Russell, Robin
Unknown Affiliation
Slade, Susan Carolyn
Unknown Affiliation
Sultan, Pervez
Unknown Affiliation
Suppiah, Puvan I.
Unknown Affiliation
El-Boghdadly, Kariem
Unknown Affiliation
Kemp, Harriet I.
Unknown Affiliation
Lo, Q.
Unknown Affiliation
Morkane, Clare M.
Unknown Affiliation
Statistics
Citations: 32
Authors: 42
Affiliations: 4
Identifiers
Doi:
10.1111/anae.15250
ISSN:
00032409
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study