Show simple item record

dc.contributor.advisorHaffajee, M. R.
dc.contributor.advisorPillay, Pamela.
dc.creatorAlabi, Adeyinka Abiodun.
dc.date.accessioned2017-03-01T06:56:36Z
dc.date.available2017-03-01T06:56:36Z
dc.date.created2016
dc.date.issued2016
dc.identifier.urihttp://hdl.handle.net/10413/14154
dc.descriptionMaster of Medical Science in Clinical Anatomy. University of KwaZulu-Natal, Westville 2016.en_US
dc.description.abstractBackground: Reported incidences of failure of spinal anaesthesia during caesarean section and the contributory factors vary widely across practices. Paucity of national guidelines for benchmarking acceptable failure rate in South Africa will impact on assessment of quality of care. This study, therefore, assessed the frequency of and associated factors of failure of spinal anaesthesia at Mthatha General Hospital in Eastern Cape, South Africa. Methods: Consecutive spinal anaesthesia performed in emergency and elective caesarean sections (n=200) from May to August, 2013 were included. The primary end was an outcome of the spinal anaesthesia. Demographic, obstetric, and anaesthetic data were collected to determine the factors associated with failed spinal anaesthesia. Results: Of the 197 participants included in the analysis, the frequency of failure of spinal anaesthesia was 11.7% (12.3% in emergency and 9.35% in elective Caesarean section). Prior anaesthesia (Relative risk [RR], 4.7; 95% Confidence interval [CI], 1.1-19.5), obesity (RR, 13.7; 95% CI, 5.4-34.7), dry tap of CSF (RR, 6.2; 95% CI, 2.5-15.2), bloody CSF (RR, 7.2; 95% CI, 2.6-20.4), and duration of work experience less than one year (RR, 4.1; 95% CI, 1.6-10.5) were associated with failed spinal anaesthesia. Multiple puncture attempts were associated with failed spinal anaesthesia. Hypotension and shivering occurred at higher rates of 39.1% and 16.2%, respectively in comparison to failed spinal anaesthesia. Conclusion: High frequency of failed spinal anaesthesia was observed in our practice setting. Risk factors for failure of spinal anaesthesia were; obesity, prior anaesthesia, bloody CSF and dry tap, and multiple puncture attempts. Training in general anaesthesia and protocols for managing other complications of spinal anaesthesia should be implemented in the hospital.en_US
dc.language.isoen_ZAen_US
dc.subjectSpinal anesthesia.en_US
dc.subjectAnesthesia.en_US
dc.subjectSpine.en_US
dc.subjectAnesthetics.en_US
dc.subjectCesarean section.en_US
dc.subjectTheses--Clinical anatomy.en_US
dc.subjectFailed spinal anaesthesia.en_US
dc.subjectCaesarean section.en_US
dc.subject.otherCaesarean section.en_US
dc.subject.otherObesity.en_US
dc.subject.otherAnaesthesia.en_US
dc.subject.otherSpinal anaesthesia failure.en_US
dc.subject.otherBupivacaine.en_US
dc.titleFrequency and predictors of failed spinal anaesthesia for caesarean section at Mthatha General Hospital.en_US
dc.typeThesisen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record