Spinal Anaesthesia Failure among Women Undergoing Caesarean Section in Kirtipur Hospital

  • PK Rajbhandari
  • P Pradhan Department of Anaesthesiology Kirtipur Hospital, Kathmandu, Nepal.
  • G Dangal

Abstract

Aims: This study was done to find out the spinal anaesthesia failure rate necessitating the conversion to general anaesthesia and
use of intraoperative supplemental analgesia.
Methods: This was a retrospective study undertaken in Kirtipur hospital in 660 patients. Spinal anaesthesia (0.5% heavy
bupivacaine 2.2 ml) was given to women who had undergone elective or emergency caesarean section from January 2009 to
December 2013.
Results: In this study spinal anaesthesia failure rate was 1.66% (n=11/660). Among them complete failed spinal anaesthesia
rate was 0.75% (n=5/660) requiring conversion to general anaesthesia. Intraoperative supplemental analgesic and sedation like
pethidine, ketamine or midazolam was required in 0.90% (n=6/660).
Conclusions: The failure rate of spinal anaesthesia given for caesarean section was low (1.66%) and it was within the acceptable
range.
Keywords: caesarean section; failure rate; spinal anaesthesia.

How to Cite
RAJBHANDARI, PK; PRADHAN, P; DANGAL, G. Spinal Anaesthesia Failure among Women Undergoing Caesarean Section in Kirtipur Hospital. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 10, n. 1, p. 36-38, aug. 2015. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/659>. Date accessed: 27 feb. 2020.
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Original Articles