Magnitude and associated factors of failed spinal anesthesia in cesarean section at Addis Ababa governmental hospitals, Ethiopia.
No Thumbnail Available
Date
2019-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Nowadays use of spinal anesthesia is the preferred anesthesia technique for
cesarean section because it avoids air way related complication. But sometimes failed spinal
anesthesia occurred and expose patient for pain and discomfort.
Objective: To assess magnitude and associated factors of failed spinal anesthesia in a mother
underwent cesarean section at Addis Ababa governmental hospitals, Ethiopia from December
2018- May 2019.
Methods: An institutional based cross sectional study was conducted on 794 mothers who
fulfilled inclusion criteria for elective and emergency cesarean section under spinal anesthesia at
selected Addis Ababa governmental hospitals, Ethiopia from December 2018 – May 2019. Data
collection methods include patient interview, chart review and observation of spinal anesthesia
procedure were employed for data collection. Collected data were entered in Epi info version 7
and analyzed using SPSS version 20. Independent variables with the dependent variable were
analyzed using logistic regression. A p-value of <0.05 was considered as cutoff point to test for
statistically significant.
Result: Magnitude of failed spinal anesthesia in this study was 15.2% (121/794). Experience of
the anesthetist <1 (AOR 4.12, 95%CI, 2.47-6.90), patient position (AOR=14.43,95%CL; 2.6578.61)
number of attempt > 1 (AOR;=9.26 , 95% CI; 5.69-15.01), bloody CSF (AOR=6.37,
95%CI; 2.90-13.96), BMI ≥30kgm
2
(AOR=2.03, 95%CI; 1.12-3.68) and dose of bupivacaine <
10mg (AOR; 2.72, 95% CI; 1.33-5.53) were significantly contributed for failed spinal anesthesia
in this study.
Conclusion and recommendation: Magnitude of failed spinal anesthesia in Addis Ababa
governmental hospitals was high. Anesthesia professionals should know all possible factors and
develop strategy to overcome the problem, and use of adjuvants should be a daily practice for
anesthetist.
Description
Keywords
Failed spinal anesthesia, cesarean section.