Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Urgency of caesarean section, grading, alarm chain and intrauterine resuscitation - a survey of Scandinavian practice

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Patterns of cerebral tissue oxygen tension and cytoplasmic redox state in bacterial meningitis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Delirium assessment in neuro-critically ill patients: A validation study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Rebound pain following peripheral nerve block anaesthesia in acute ankle fracture surgery: An exploratory pilot study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Association between perioperative hyperoxia and cerebrovascular complications after laparotomy-A post-hoc follow-up study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Use of Medication at the Roskilde (Denmark) Music Festival 2015 - A Prospective Observational Study of 15,133 Treated Attendees

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Continued publications by health science PhDs, 5 years post PhD-Defence. Research Evaluation,

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Obestetric early warning score in Scandinavia. A survey of midwives’ use of systematic monitoring in parturients.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Information specialists improve the quality of systematic reviews

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Lægers kirurgiske færdigheder målt ved brug af »Operation«-simulatoren

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: About 40,000 women have caesarean section in Scandinavia each year. Organizational factors for emergency caesarean section (CS), classification, anaesthetic practice, alarm chain, intrauterine resuscitation has all been investigated in the United Kingdom, but no information from the Scandinavian countries exists.

METHODS: Using publicly available data from the National Board of Health, obstetric anaesthetic departments were identified. The heads of the departments provided e-mail contact details of two anaesthesiologists regularly practicing obstetric anaesthesia who were then surveyed.

RESULTS: One hundred and forty-five specialists from 82 departments in Scandinavia replied to our survey. Ninety-five percent of Danish specialists reported a three-grade classification system for urgency CS. Where classification in Denmark was enumerative classification, Norwegians equally reported enumerative and verbal descriptors, whereas Swedish specialists mostly reported verbal descriptors. Local guidelines describing decision-to-delivery interval for emergency CS was reported by 100% of Danish specialists vs. 47% from Norway and 85% from Sweden. Mean benchmark decision-to-delivery interval for emergency CS was 12.7 min. General anaesthesia for emergency CS was highly favoured in Norway (95%) and Sweden (97%), compared to Denmark (49%). Twenty specialists reported existence of local guidelines for intrauterine resuscitation.

CONCLUSION: Our survey of Scandinavian specialists indicate emergency CS practise differs from United Kingdom practices in several aspects; general anaesthesia is by the majority of Scandinavian specialists reported as the default choice for emergency CS and benchmark for decision-to-delivery interval is < 20 min. Nomenclature used for classification showed considerable variance in Norway and Sweden compared to Denmark. No joint Scandinavian guidelines exist.

OriginalsprogEngelsk
TidsskriftActa Anaesthesiologica Scandinavica
Vol/bind62
Udgave nummer2
Sider (fra-til)167-176
Antal sider10
ISSN0001-5172
DOI
StatusUdgivet - feb. 2018

ID: 56704319