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Volume 9 Issue 4 (April, 2021)

Original Articles

Assessment of Incidence of Failure of Spinal Anesthesia Necessitating the Conversion to General Anesthesia in Women Presenting for Caesarean Section- An Observational Study
Akansha Sharma, Ritika Negi, R L Gogna

Background: Failure of spinal anaesthesia for caesarean section may have deleterious consequences for the mother as well as the newborn baby. Aim of the study: To assess incidence of Failure of Spinal Anesthesia Necessitating the Conversion to General Anesthesia in Women Presenting for Caesarean Section. Materials and methods: The study was conducted in the Department of Anesthesia of MGM Medical College and Hospital, Mumbai. For the study, the selection of subjects was done by including all mothers scheduled for caesarean section under regional anesthesia in the obstetric theatre. A total of 62 patients were included in the study. The data was collected using a questionnaire which was partly filled by the investigator in the ward and the last part in theatre as the operation went on. Patientís details were entered including age, weight and height, indication for caesarean section and parity. Results: We observed that mean age of the patients was 33.92 years. Mean BMI of the patients was 28.21 kg/m2. No. of elective cases were 12 and no. of emergency cases were 50. 9.7 % of the total cases were converted to general anesthesia due to failure of spinal anesthesia. The results were statistically significant. Conclusion: Within the limitations of the present study, it can be concluded that our study population had approximately 10% conversion rate from spinal anesthesia to general anesthesia because of failure of spinal anesthesia during c-section procedure. Keywords: Spinal anesthesia, C-section, General anesthesia.

 
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