Pregnant Women Positioning in Spinal Anesthesia for Cesarean Section: Integrative Review

Pinto, Sarah de Lima; Melo, Geórgia Alcântara Alencar; Barros, Lívia Moreira; Neto, Nelson Miguel Galindo; Lisboa, Kênya Waléria de Siqueira Coelho; Gomes, Emiliana Bezerra; Oliveira, Mirna Fontenele de; Caetano, Joselany Áfio

doi:10.3823/2449

Cited by 4 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In terms of education, the majority of participants were below the tertiary level with a significant number never attending school. Meanwhile, Pinto et al (2017) demonstrated among a Brazilian population that education was a statistically significant factor to define patients who knew about anesthesia services and anesthetists. This may be explained by the relationship that those of higher intellect look for more information and show more coherent assimilation.…”

Section: Discussionmentioning

confidence: 99%

Assessing Patients’ Knowledge on Anesthesia Services at Tamale Teaching Hospital

et al. 2020

View full text Add to dashboard Cite

Anesthesia is one of the most significant developments of modern medicine that allows treatment involving unbearable pain to be performed while the person is relaxed, asleep, and with no memory of the procedure. However, patients around the world have little or limited knowledge regarding anesthesia. It is in view of that, this study was undertaken to assess patients' knowledge on anesthesia services at a preanesthetic clinic and recovery wards of a teaching hospital in Northern Ghana. Descriptive quantitative survey was used to identify patients' knowledge about anesthesia services with the purpose to observe, describe, and document the situation as it naturally occurs. Data obtained from 100 participants were double entered into Microsoft Excel spreadsheet and validated for data errors. Data were then coded and exported to SPSS version 20.0 for Windows for analysis. Descriptive statistics such as frequencies and percentages were used to describe data. The results showed that 53% of participants were aware of anesthesia services as opposed to 47%. However, 30% of the respondents could not identify the type of anesthesia services, while 68% did not know the route of administration of anesthetic agents. Most importantly, 51% had no idea of what an anesthetist is, while 33% knew nothing about the role anesthetists play in the health delivery system. As a result, 26% thought an anesthetist is the theatre nurse, while 25% were of the view that the doctor doubles as the anesthetist. Anesthetists must therefore make conscious efforts to disseminate information before and after surgeries and follow-up clients who underwent anesthesia to provide for continuity of care. This may include preparation of leaflets, brochures, videos, and handouts to improve patients' knowledge and attitude and to disseminate it to all departments in the hospital where anesthesia services are provided.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessing Patients’ Knowledge on Anesthesia Services at Tamale Teaching Hospital

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Therefore, an integrative review was performed which, despite the small number of articles published on the subject, showed that the positioning influences the effect, empowerment and time of onset, besides the pregnant woman's comfort and hemodynamic parameters, revealing its importance for the perioperative period and obstetric practice. (5) These findings reinforced the need to construct educational technology on the subject, whose elaboration should be evidence-based, so that it has valid and understandable content for the target audience and contributes effectively to obstetric clinical practice.…”

Section: Introductionmentioning

confidence: 88%

“…The bibliographic survey considered the literature on the subject, in addition to the findings from the integrative review mentioned earlier. (5) Based on the scientific evidence identified, the authors constructed the flipchart. The recommendations were followed for the writing and layout of text for educational technologies for people with low education levels.…”

Section: Bibliographic Survey and Construction Of Flipchartmentioning

confidence: 99%

Posicionamento do paciente para raquianestesia: construção e validação de álbum seriado

et al. 2018

Self Cite

View full text Add to dashboard Cite

Resumo Objetivo: Construir e validar álbum seriado educativo para gestantes que serão submetidas à cirurgia cesariana, acerca do posicionamento durante a raquianestesia. Métodos: Estudo metodológico realizado com a elaboração do álbum seriado, validação com 22 enfermeiros de centro cirúrgico, 22 anestesistas e 3 juízes da área de comunicação e posterior avaliação do material por gestantes. Utilizou-se o Level Content Validity Index superior a 0,8 para a validação de conteúdo e o teste binomial para verificação da proporção de concordância. Resultados: O álbum seriado possui 15 páginas, contém orientações sobre vantagens, desvantagens e posições para a raquianestesia. A média do Level Content Validity Index foi de 0,94 pelos enfermeiros, 0,93 pelos anestesistas e 0,97 pelos juízes da área de comunicação. Houve unanimidade pelas gestantes na aprovação do material. Conclusão: O álbum seriado foi construído e validado e pode ser utilizado pela enfermagem junto a gestantes que serão submetidas à cesariana sob raquianestesia. Abstract Objective: Construct and validate an educational flipchart for pregnant women who are to be submitted to a cesarean section on positioning during spinal anesthesia.

show abstract

“…Another factor that influences the spread of anesthesia is the position and baricity of local anesthesia 30 . Measures to avoid high spinal block are low dose local anesthesia 31 , adjusting the dose of bupivacaine according to the patients height 5,6 and BMI 8,31 , slow injection of local anesthesia 28 , administering local anesthesia in sitting position 32 and isobaric local anesthesia 30 .…”

Section: Risk Factorsmentioning

confidence: 99%

Pre-delivery hypotension after spinal anesthesia during cesarean section and its associated factors at Jigme Dorji Wangchuck National Referral Hospital, Bhutan

Yoezer

Tenzin²,

Tshering³

et al. 2021

Bhutan Health Journal

View full text Add to dashboard Cite

Introduction: The current choice of anesthesia for the cesarean section is spinal anesthesia. However, hypotension is the major complication. If promptly not recognized and treated, it increases the morbidity and mortality of the mother and fetus. This study was conducted to evaluate the rate of pre-delivery hypotension and risk factors following spinal anesthesia for cesarean section at the National Referral Hospital in Bhutan. Methods: A cohort study was conducted from 1st October 2018 to 30th June 2019 on 350 women undergoing cesarean section under spinal anesthesia. Pre-delivery hypotension was defined as systolic blood pressure < 100 mm Hg. The association of factors for hypotension was tested using multivariable binary logistic regression using a forward stepwise model. A p-value < 0.05 was considered significant. Results: The rate of pre-delivery hypotension was 74.6 % (n=261). History of hypertension during pregnancy (Adjusted OR 0.25, [0.11-0.60], p=0.013), prophylaxis use of ephedrine (Adjusted OR 0.45, [0.22-0.92], p= 0.024) and ondansetron (Adjusted OR 0.43, [0.22-0.82], p= 0.010),longer preoperative fasting duration (Adjusted OR 1.12, [1.01-1.21], p=0.024,), sensory block level <= T4 (Adjusted OR 3.4, [1.8-6.4], p=<0.001) and baseline systolic blood pressure less than or equal to 120 mmHg (Adjusted OR 2.8, [1.5-5.1], p=0.001) were significant risk factors. Conclusions: This study conduces that the rate of pre-delivery hypotension following spinal anesthesia in a cesarean section was high among women undergoing cesarean section. It is alarming as around two-third of women and fetus undergoing cesarean section under spinal anesthesia are at risk of consequences of hypotension. Most of the risk factors in the study are modifiable. The study suggests that if the anesthesia provider intervenes in managing the modifiable risk factors and treat hypotension promptly, it can help reduce the risk of women and fetus to spinal hypotension consequences.

show abstract

Pregnant Women Positioning in Spinal Anesthesia for Cesarean Section: Integrative Review

Cited by 4 publications

References 9 publications

Assessing Patients’ Knowledge on Anesthesia Services at Tamale Teaching Hospital

Assessing Patients’ Knowledge on Anesthesia Services at Tamale Teaching Hospital

Posicionamento do paciente para raquianestesia: construção e validação de álbum seriado

Pre-delivery hypotension after spinal anesthesia during cesarean section and its associated factors at Jigme Dorji Wangchuck National Referral Hospital, Bhutan

Contact Info

Product

Resources

About