Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Apr 17:10:4.
doi: 10.1186/1471-2253-10-4.

Use of local anaesthetics and adjuncts for spinal and epidural anaesthesia and analgesia at German and Austrian University Hospitals: an online survey to assess current standard practice

Bianca M Wahlen  1 , Norbert Roewer, Peter Kranke
Affiliations

Use of local anaesthetics and adjuncts for spinal and epidural anaesthesia and analgesia at German and Austrian University Hospitals: an online survey to assess current standard practice

Bianca M Wahlen et al. BMC Anesthesiol. .

Abstract

Background: The present anonymous multicenter online survey was conducted to evaluate the application of regional anaesthesia techniques as well as the used local anaesthetics and adjuncts at German and Austrian university hospitals.

Methods: 39 university hospitals were requested to fill in an online questionnaire, to determine the kind of regional anaesthesia and preferred drugs in urology, obstetrics and gynaecology.

Results: 33 hospitals responded. No regional anaesthesia is conducted in 47% of the minor gynaecological and 44% of the urological operations; plain bupivacaine 0.5% is used in 38% and 47% respectively. In transurethral resections of the prostate and bladder no regional anaesthesia is used in 3% of the responding hospitals, whereas plain bupivacaine 0.5% is used in more than 90%. Regional anaesthesia is only used in selected major gynaecological and urological operations. On the contrary to the smaller operations, the survey revealed a large variety of used drugs and mixtures. Almost 80% prefer plain bupivacaine or ropivacaine 0.5% in spinal anaesthesia in caesarean section. Similarly to the use of drugs in major urological and gynaecological operations a wide range of drugs and adjuncts is used in epidural anaesthesia in caesarean section and spontaneous delivery.

Conclusions: Our results indicate a certain agreement in short operations in spinal anaesthesia. By contrast, a large variety concerning the anaesthesiological approach in larger operations as well as in epidural analgesia in obstetrics could be revealed, the causes of which are assumed to be primarily rooted in particular departmental structures.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Urological operations < 2 hours (n = 33).
Figure 2
Figure 2
Transurethral resection of the bladder (TURB)/Transurethral resection of the prostate (TURP) (n = 33).
Figure 3
Figure 3
Gynaecological operations < 2 hours (n = 33).
Figure 4
Figure 4
Spinal anaesthesia for caesarean section (n = 33).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Hensel M, Schwenk W, Bloch A. The role of anesthesiology in fast track concepts in colonic surgery. Anaesthesist. 2006;55:80–92. doi: 10.1007/s00101-005-0923-1. - DOI - PubMed
    1. Ballantyne JC, Carr DB, deFerranti S. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998;86:598–612. doi: 10.1097/00000539-199803000-00032. - DOI - PubMed
    1. Beattie WS, Badner NH, Choi P. Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis. Anesth Analg. 2001;93:853–8. doi: 10.1097/00000539-200110000-00010. - DOI - PubMed
    1. Licker M, Schweizer A, Ellenberger C, Tschopp JM, Diaper J, Clergue F. Perioperative medical management of patients with COPD. Int J Chron Obstruct Pulmon Dis. 2007;2:493–515. - PMC - PubMed
    1. Bu yse I, Stockman W, Columb M, Vandermeersch E, Van d V. Effect of sufentanil on minimum local analgesic concentrations of epidural bupivacaine, ropivacaine and levobupivacaine in nullipara in early labour. Int J Obstet Anesth. 2007;16:22–8. doi: 10.1016/j.ijoa.2006.07.008. - DOI - PubMed

LinkOut - more resources