ID | 119619 |
タイトル別表記 | Anesthesiologist experience in cesareans
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著者 |
Matsumoto, Yako
Tokushima University
Nakaji, Yoshimi
Tokushima University
Takahashi, Rikako
Tokushima University
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キーワード | Body Mass Index
Anesthesiologists
Anesthesia
Anesthesia, obstetrical
novice anesthesiologist
neuraxial anesthesia
obstetric anesthesia
trainee anesthesiologist
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資料タイプ |
学術雑誌論文
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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
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ISSN | 03759393
18271596
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cat書誌ID | AA00739739
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出版者 | Edizioni Minerva Medica
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巻 | 90
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号 | 10
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開始ページ | 864
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終了ページ | 871
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発行日 | 2024-10
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備考 | 論文本文は2025-10-01以降公開予定
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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.
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EDB ID | |
出版社版DOI | |
出版社版URL | |
言語 |
eng
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著者版フラグ |
その他
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部局 |
病院
医学系
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