Perception of Anesthesiologists for Incidence Hypotension during Spinal Anesthesia in Cesarean Section in Public Hospitals in Sana'a City, Yemen 2020-2021
Background: Hypotension is the commonest complication of spinal anesthesia. It may pose serious risk to both mother (like loss of consciousness and cardiac arrest) and the baby with poor outcomes.
Objective: In this study, we aimed to assess the Anesthesiologists’ perception of hypotension incidence during spinal anesthesia in cesarean deliveries in public hospitals in Sana'a city, Yemen.
Methodology: After approval of departmental ethical committee, this survey was applied on the anesthesia staff employed in the anesthesia department of general and private hospitals at Sana’a city ,and who agree to participate in this study and they were filled the questionnaire that take about incidence of, and risk factors for, hypotension during spinal anesthesia for cesarean section in public hospitals at Sana’a Yemen.
Results: A total of 92 anesthesia staff were included in the study, the majority (82.60%) were male and (17.40 %) were females. Most of the respondents (56.52 %) were in the age group of 31–45 years, (34.78%) were in the age group of 25–30 years and (8.70 %) were in the age group of 46 ≥ years, (40.21%) of the responders were level of education at Bachelor degree, (35.87%) were level of education at Diploma degree, (9.79%) were level of education at Board degree, (8.70%) were level of education at Master degree and (5.43%) were level of education at Ph.D. degree, and nearly two third (66.30%) worked in anesthesia for 2 ≥ years and (33.70 %) of the anesthesiologist's were working for 2 ˂ years. We found that the incidence of hypotension during spinal anesthesia for cesarean section in the current study were mild, moderate and severe hypotension were 32.60%, 47.80% and 19.60%, respectively. The risk factors for spinal anesthesia induced hypotension during CS could be fluid preloading, anesthetic drugs (Bupivacaine) and opioid used with Marcaine in spinal anesthesia (Fentanyl).
Conclusions: We concluded from this survey study that use both crystalloids and colloids for fluid loading, and the use of crystalloids was more than colloids (35.87%) and (6.52) respectively, and the volume (1000ml) of fluid preloading was high percentage (58.70%).
Keywords: induced hypotension- anesthesiologist- spinal anesthesia-perception.
Objective: In this study, we aimed to assess the Anesthesiologists’ perception of hypotension incidence during spinal anesthesia in cesarean deliveries in public hospitals in Sana'a city, Yemen.
Methodology: After approval of departmental ethical committee, this survey was applied on the anesthesia staff employed in the anesthesia department of general and private hospitals at Sana’a city ,and who agree to participate in this study and they were filled the questionnaire that take about incidence of, and risk factors for, hypotension during spinal anesthesia for cesarean section in public hospitals at Sana’a Yemen.
Results: A total of 92 anesthesia staff were included in the study, the majority (82.60%) were male and (17.40 %) were females. Most of the respondents (56.52 %) were in the age group of 31–45 years, (34.78%) were in the age group of 25–30 years and (8.70 %) were in the age group of 46 ≥ years, (40.21%) of the responders were level of education at Bachelor degree, (35.87%) were level of education at Diploma degree, (9.79%) were level of education at Board degree, (8.70%) were level of education at Master degree and (5.43%) were level of education at Ph.D. degree, and nearly two third (66.30%) worked in anesthesia for 2 ≥ years and (33.70 %) of the anesthesiologist's were working for 2 ˂ years. We found that the incidence of hypotension during spinal anesthesia for cesarean section in the current study were mild, moderate and severe hypotension were 32.60%, 47.80% and 19.60%, respectively. The risk factors for spinal anesthesia induced hypotension during CS could be fluid preloading, anesthetic drugs (Bupivacaine) and opioid used with Marcaine in spinal anesthesia (Fentanyl).
Conclusions: We concluded from this survey study that use both crystalloids and colloids for fluid loading, and the use of crystalloids was more than colloids (35.87%) and (6.52) respectively, and the volume (1000ml) of fluid preloading was high percentage (58.70%).
Keywords: induced hypotension- anesthesiologist- spinal anesthesia-perception.