直近一年間の累計
アクセス数 : ?
ダウンロード数 : ?
ID 119619
タイトル別表記
Anesthesiologist experience in cesareans
著者
Matsumoto, Yako Tokushima University
Nakaji, Yoshimi Tokushima University
Takahashi, Rikako Tokushima University
キーワード
Body Mass Index
Anesthesiologists
Anesthesia
Anesthesia, obstetrical
novice anesthesiologist
neuraxial anesthesia
obstetric anesthesia
trainee anesthesiologist
資料タイプ
学術雑誌論文
抄録
BACKGROUNDː Despite the requirement for meticulous management of cesarean anesthesia, no study has explored the impact of novice trainee anesthesiologists in this field. This study assessed challenges in neuraxial anesthesia for cesarean sections and compared outcomes between novice and senior anesthesiologists.
METHODSː We retrospectively analyzed 446 cesarean sections with neuraxial anesthesia. The primary objective was to evaluate the impact of anesthesiologists' experience on the time required to administer neuraxial anesthesia and whether maternal body mass index (BMI) influenced this relationship. Secondary objectives included examining maternal hemodynamic variability, operative details, and newborn outcomes relative to the anesthesiologist's experience.
RESULTSː Novice anesthesiologists required a significantly longer time to perform neuraxial anesthesia (24.9 [7.1] min vs. 18.2 [7.0] min, p < 0.001) than their senior counterparts. A significant interaction was observed between anesthesiologist experience and maternal BMI on the time to administer neuraxial anesthesia (p = 0.017), with a moderate correlation between BMI and administration time for novices (r = 0.50, p < 0.001) and only a slight correlation for seniors (r = 0.17, p = 0.001). Experience level did not significantly affect intraoperative hemodynamics, Apgar scores, or umbilical cord blood gas analyses.
CONCLUSIONSː The effect of maternal BMI on the difficulty of performing neuraxial anesthesia in parturients can be more pronounced for novice anesthesiologists than for experienced ones. Despite requiring more time to perform neuraxial anesthesia, novice anesthesiologists do not significantly affect maternal hemodynamics or newborn distress during obstetric anesthesia, provided that they are under the supervision of experienced anesthesiologists.
掲載誌名
Minerva Anestesiologica
ISSN
03759393
18271596
cat書誌ID
AA00739739
出版者
Edizioni Minerva Medica
90
10
開始ページ
864
終了ページ
871
発行日
2024-10
備考
論文本文は2025-10-01以降公開予定
権利情報
This is a postprint version of the article published in Minerva Anestesiologica. This version is free to view and download to private research and study only. Not for redistribution or re-use. ©Edizioni Minerva Medica. The final published article is available online on Minerva Medica website at https://doi.org/10.23736/S0375-9393.24.18154-0.
EDB ID
出版社版DOI
出版社版URL
言語
eng
著者版フラグ
その他
部局
病院
医学系