Abstract | BACKGROUND: OBJECTIVES: METHODS: RESULTS: Neuraxial morphine was used routinely in 12% of hospitals. No unit providing intrathecal morphine complied with American Society of Anesthesiologists guidelines for respiratory monitoring after use of neuraxial opioids. Additionally, non-steroidal anti-inflammatory drugs ( NSAIDs) .were used routinely in only half the wards, while patient-controlled analgesia was used infrequently. Postoperative verbal analog scores were not recorded routinely in 71% of units on postoperative day 1. The unit director's training significantly influenced the unit protocols. CONCLUSIONS: Intrathecal morphine, the gold standard of care in cesarean deliveries, is rarely used, mainly due to shortage of staff and lack of formal obstetric anesthesia training. In addition, NSAIDs are also underused. There is a need for more formal training for obstetric anesthesiologists in Israel.
|
Authors | Sharon Orbach-Zinger, Alexander Ioscovich, Amir Aviram, Sergei Babytz, Shai Fein, Alon Reuveni, Leonid A Eidelman |
Journal | The Israel Medical Association journal : IMAJ
(Isr Med Assoc J)
Vol. 16
Issue 3
Pg. 153-6
(Mar 2014)
ISSN: 1565-1088 [Print] Israel |
PMID | 24761702
(Publication Type: Journal Article)
|
Chemical References |
- Analgesics, Opioid
- Anti-Inflammatory Agents, Non-Steroidal
- Morphine
|
Topics |
- Analgesia, Obstetrical
(methods)
- Analgesics, Opioid
(administration & dosage)
- Anesthesia, Obstetrical
(methods)
- Anti-Inflammatory Agents, Non-Steroidal
(administration & dosage, therapeutic use)
- Cesarean Section
(methods)
- Female
- Guideline Adherence
- Humans
- Injections, Spinal
- Israel
- Morphine
(administration & dosage)
- Pain Measurement
- Pain, Postoperative
(prevention & control)
- Practice Guidelines as Topic
- Pregnancy
- Surveys and Questionnaires
|