Anesthesiology Research and Practice最新文献

{"title":"Prevalence of Emergence Delirium and Associated Factors among Older Patients Who Underwent Elective Surgery: A Multicenter Observational Study.","authors":"Gezahegn Tesfaye Mekonin,&nbsp;Megersa Kelbesa Olika,&nbsp;Mitiku Birhanu Wedajo,&nbsp;Ashanafi Tolasa Badada,&nbsp;Abebe Dukessa Dubiwak,&nbsp;Tajera Tageza Ilala,&nbsp;Mamo Nigatu Gebre","doi":"10.1155/2022/2711310","DOIUrl":"https://doi.org/10.1155/2022/2711310","url":null,"abstract":"<p><strong>Background: </strong>Emergence delirium is a common and serious postoperative complication in older surgical patients. It occurs at any time in the perioperative period, during or immediately following emergence from general anesthesia. Unfortunately, it is highly associated with postoperative complications such as a decrease in functional capacity, prolonged hospital stay, an increase in health care costs, and morbidity and mortality. The goal of this study was to determine the prevalence of emergence delirium and associated factors among older patients who underwent elective surgery in the teaching hospitals of Ethiopia at the postanesthesia care unit in 2021.</p><p><strong>Methods: </strong>A multicenter prospective observational study was conducted at the postanesthetic care unit in the four teaching hospitals of Ethiopia. Older surgical patients admitted to the postanesthesia care unit who underwent elective surgery in the four teaching hospitals of Ethiopia were selected by using simple random sampling. Pretested structured questionnaire was used to collect data. Data were entered into EpiData (version 4.6) and exported to the SPSS (version 25.0). Binary logistic regression was used to identify factors independently associated with the emergence delirium.</p><p><strong>Results: </strong>Out of 384 older patients included in the study, the prevalence of emergence delirium was 27.6%. Preoperative low hemoglobin levels (AOR: 2.0, 95% CI; 1.77-3.46), opioid (AOR: 8.0, 95% CI; 3.22-27.8), anticholinergic premedications (AOR: 8.5, 95% CI; 6.85-17.35), and postoperative pain (AOR: 3.10, 95 CI; 2.07-9.84) at PACU were independently associated with emergence delirium.</p><p><strong>Conclusion: </strong>The prevalence of emergence delirium was high among older patients who underwent elective surgery. Opioid and anticholinergic premedication, low preoperative hemoglobin, and the presence of postoperative pain were independently associated with the emergence delirium. Adequate preoperative optimization and postoperative analgesia may reduce the prevalence of emergence delirium.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"2711310"},"PeriodicalIF":1.4,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40367095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Achieving Lumbar Epidural Block Competency in Inexperienced Trainees after a Structured Epidural Teaching Model: A Randomized, Single Blind, Prospective Comparison of CUSUM Learning Curves.","authors":"Marco Scorzoni,&nbsp;Gian Luigi Gonnella,&nbsp;Emanuele Capogna,&nbsp;Matteo Velardo,&nbsp;Pietro Paolo Giuri,&nbsp;Mariano Ciancia,&nbsp;Giorgio Capogna,&nbsp;Gaetano Draisci","doi":"10.1155/2022/1738783","DOIUrl":"https://doi.org/10.1155/2022/1738783","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this randomized, prospective study was to investigate whether the use of the structured epidural teaching model (SETM) may affect the learning curve for lumbar epidural block in novice trainees when compared with a standard teaching module.</p><p><strong>Introduction: </strong>There is a paucity of literature regarding the efficacy of teaching epidural blocks and comparisons between the different educational approaches.</p><p><strong>Method: </strong>Forty-four PGY3 anesthesia trainees were randomized to receive (study group) or to not receive (control group) the SDM (structured didactic model) before the beginning of their 6 months clinical practice rotation in labor and delivery suites. A CUSUM learning curve was built for every trainee. The scores were assigned by the staff instructor, who was unaware of the group to which the trainee belonged.</p><p><strong>Results: </strong>The number of subjects who achieved an improvement in performance was 8 trainees from the control group and 14 from the study group. The probability of achieving an improvement was higher (<i>p</i> < 05) in the study group than in the control group, with an aOR of 3.25 (CI: 1.01; 12.1). The proportion of subjects in the study group who completed the epidural without help was 1.21 (1.05-1.41) times the proportion of subjects who completed the epidural without help in the control group. The probability of completing the epidural block without any assistance was 21% higher in the study group than in the control group (<i>p</i> < 05).</p><p><strong>Conclusion: </strong>We have demonstrated that the use of the structured epidural teaching model (SETM) may improve the learning curve (CUSUM) for lumbar epidural block in novice, entirely inexperienced, anesthesia trainees.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"1738783"},"PeriodicalIF":1.4,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9463033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33461595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Cell Salvage on Bleeding and Transfusion Needs in Cardiac Surgery.","authors":"Frixos Tachias,&nbsp;Evangelia Samara,&nbsp;Anastasios Petrou,&nbsp;Agathi Karakosta,&nbsp;Stavros Siminelakis,&nbsp;Efstratios Apostolakis,&nbsp;Petros Tzimas","doi":"10.1155/2022/3993452","DOIUrl":"https://doi.org/10.1155/2022/3993452","url":null,"abstract":"<p><strong>Introduction: </strong>Cell salvaging is well established in the blood management of cardiac patients, but there remain some concerns about its effects on perioperative bleeding and transfusion variables. This randomized controlled study investigated the potential effects of the centrifuged end-product on bleeding, transfusion rates, and other transfusion-related variables in adult cardiac surgery patients submitted to extracorporeal circulation.</p><p><strong>Materials and methods: </strong>Patients were randomly chosen to receive (cell-salvage group, 99 patients) or not to receive (control group, 110 patients) the centrifuged product of a cell salvage apparatus. Bleeding and transfusion rates according to the universal definition of perioperative bleeding (UDPB) classification, postoperative hemoglobin, coagulation, and oxygenation indices were recorded and compared between the groups.</p><p><strong>Results: </strong>Both groups had almost identical bleeding and transfusion rates (median value: 2 units of red blood cells (RBC) and no units of fresh frozen plasma (FFP) and platelets (PLT) for both groups, <i>p</i> > 0.05). Patients in the cell-salvage group presented slightly higher hemoglobin concentrations (10.6 ± 1.1 vs. 10.1 ± 1.7 g/dL, <i>p</i> < 0.05, respectively) and a tendency towards better oxygenation indices (P_aO₂/F_iO₂: 241 ± 94 vs. 207 ± 84, <i>p</i>=0.013) in the postoperative period albeit with a tendency for prolongation of prothrombin time (INR: 1.31 ± 0.18 vs. 1.26 ± 0.12, <i>p</i>=0.008).</p><p><strong>Conclusion: </strong>Within the study's constraints, the perioperative use of the cell salvage concentrate does not seem to affect bleeding or transfusion variables, although it could probably ameliorate postoperative oxygenation in adult cardiac surgery patients. A tendency to promote coagulation disturbances was detected.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"3993452"},"PeriodicalIF":1.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33461594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retracted: A Posterior TAP Block Provides More Effective Analgesia Than a Lateral TAP Block in Patients Undergoing Laparoscopic Gynecologic Surgery: A Retrospective Study.","authors":"Anesthesiology Research And Practice","doi":"10.1155/2022/9768905","DOIUrl":"https://doi.org/10.1155/2022/9768905","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2016/4598583.].</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"9768905"},"PeriodicalIF":1.4,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33446834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Delirium Risk Predication Model among ICU Patients in Oman.","authors":"Rasha Khamis Al-Hoodar,&nbsp;Eilean Rathinasamy Lazarus,&nbsp;Omar Alomari,&nbsp;Omar Alzaabi","doi":"10.1155/2022/1449277","DOIUrl":"https://doi.org/10.1155/2022/1449277","url":null,"abstract":"<p><strong>Background: </strong>Delirium is a common disorder among patients admitted to intensive care units. Identification of the predicators of delirium is very important to improve the patient's quality of life.</p><p><strong>Methods: </strong>This study was conducted in a prospective observational design to build a predictive model for delirium among ICU patients in Oman. A sample of 153 adult ICU patients from two main hospitals participated in the study. The Intensive Care Delirium Screening Checklist (ICDSC) was used to assess the participants for delirium twice daily.</p><p><strong>Result: </strong>The results showed that the incidence of delirium was 26.1%. Multiple logistic regression analysis showed that sepsis (odds ratio (OR) = 9.77; 95% confidence interval (CI) = 1.91-49.92; <i>P</i> < 0.006), metabolic acidosis (odds ratio (OR) = 3.45; 95% confidence interval [CI] = 1.18-10.09; <i>P</i>=0.024), nasogastric tube use (odds ratio (OR) 9.74; 95% confidence interval (CI) = 3.48-27.30; <i>P</i> ≤ 0.001), and APACHEII score (OR = 1.22; 95% CI = 1.09-1.37; <i>P</i> ≤ 0.001) were predictors of delirium among ICU patients in Oman (<i>R</i> ²=0.519, adjusted <i>R</i> ²=0.519, <i>P</i> ≤ 0.001).</p><p><strong>Conclusion: </strong>To prevent delirium in Omani hospitals, it is necessary to work on correcting those predictors and identifying other factors that had effects on delirium development. Designing of a prediction model may help on early delirium detection and implementation of preventative measures.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"1449277"},"PeriodicalIF":1.4,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40606228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of High-Dose Vitamin C Infusion on Outcomes in Sepsis Requiring Mechanical Ventilation: A Double-Blind Randomized Controlled Trial.","authors":"Wessam A El Driny,&nbsp;Ibrahim M Esmat,&nbsp;Sara M Shaheen,&nbsp;Nagwa A Sabri","doi":"10.1155/2022/4057215","DOIUrl":"https://doi.org/10.1155/2022/4057215","url":null,"abstract":"<p><strong>Background: </strong>Critically ill patients have an increased requirement for vitamin C in sepsis and these patients have low levels of vitamin C. The researchers validated the efficacy of high-dose vitamin C intravenous infusion (IVI) in patients with sepsis requiring mechanical ventilation.</p><p><strong>Methods: </strong>Forty patients were randomly assigned to 2 groups (20 each) in a 1 : 1 ratio in accordance with the vitamin C treatment regimen: Group I (GI): patients received 1.5 g/6 h vitamin C in 50 ml of dextrose 5% in water (D5W) IVI over 30 minutes for 4 consecutive days; Group II (GII): patients received 100 mg vitamin C/day as a first single dose in 50 ml of D5W IVI over 30 minutes and the other three subsequent doses were 50 ml of plain D5W IVI over 30 minutes for 4 consecutive days. Primary outcomes were the change in sequential organ failure assessment (SOFA) score at day 7, the incidence of ventilator-associated pneumonia (VAP), and the plasma vitamin C level. The glutathione peroxidase (GPX) activity, C-reactive protein (CRP) level, duration of vasopressor therapy, and 28-day mortality were secondary outcomes.</p><p><strong>Results: </strong>The change in SOFA score at day 7 showed a significant difference between GI and GII (<i>p</i> < 0.001). The incidence of early VAP was significantly lower in GI (<i>p</i>=0.044). Vitamin C levels showed a significant rise in GI at day 1 and day 4 (<i>p</i> < 0.001 and <i>p</i> < 0.001, respectively). GPX activity of day 4 and day 7 was significantly higher in GI (<i>p</i>=0.005 and <i>p</i>=0.014, respectively). CRP levels of day 4 and day 7 were significantly higher in GII (<i>p</i> < 0.001 and <i>p</i> < 0.001, respectively). There was a significant difference in 28-day mortality (<i>p</i>=0.038) and duration of vasopressor therapy (<i>p</i>=0.033) in GI compared to GII.</p><p><strong>Conclusion: </strong>The early use of high-dose vitamin C intravenous infusion in patients with sepsis requiring mechanical ventilation in combination with the standard treatment for sepsis lowered the incidence of VAP, increased the antioxidant status, and improved the illness severity. <i>Trial Registration.</i> This trial is registered with ClinicalTrials.gov Identifier (NCT04029675).</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"4057215"},"PeriodicalIF":1.4,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40533664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sublingual Sufentanil vs. Intravenous Fentanyl for the Treatment of Acute Postoperative Pain in the Ambulatory Surgery Center: A Randomized Clinical Trial.","authors":"Aaron Berg,&nbsp;Jason Habeck,&nbsp;Michael Strigenz,&nbsp;Jonah Pearson,&nbsp;Alexander Kaizer,&nbsp;Jacob Hutchins","doi":"10.1155/2022/5237877","DOIUrl":"https://doi.org/10.1155/2022/5237877","url":null,"abstract":"<p><strong>Objectives: </strong>Sublingual sufentanil is a novel opioid medication to treat moderate to severe pain postoperatively. This study's aim was to determine if a single dose of a sublingual sufentanil tablet (SST) is as efficacious as a single dose of intravenous (IV) fentanyl in readiness to discharge from ambulatory surgery.</p><p><strong>Methods: </strong>This was a two-arm, parallel group, randomized prospective outcomes study conducted at a single, free-standing ambulatory surgery center. Patients aged 18-80 undergoing general anesthesia who developed a postoperative pain score of ≥ 4 were enrolled and randomized to receive either 30 mcg SST or 50 mcg IV fentanyl. After their initial randomized dose, rescue IV fentanyl followed by oral oxycodone if needed. Recovery length of stay from arrival in the postanesthesia care unit until readiness to discharge criteria was met based on phase 2 discharge criteria.</p><p><strong>Results: </strong>75 patients were analyzed. Readiness to discharge from the recovery room was not significantly different between either group (IV fentanyl median 65 minutes; IQR 56-89; SST 73 min, IQR 58-89; <i>p</i>=0.903). There was no significant difference in the amount of morphine equivalents (MME) of rescue opioids needed (IV fentanyl median rescue MME of 22.5, IQR 13.1-23.4; SST median rescue MME of 15.0, IQR 7.5-30.0; <i>p</i>=0.742). The change in pain from PACU initially, and on discharge was not significantly different (IV fentanyl initial pain minus pain on discharge median 3, IQR 2-4; SST initial pain minus pain on discharge median 4, IQR 2-5.5; <i>p</i>=0.079). There was no difference in the six-item screener and the Overall Benefit of Analgesic Survey Score. <i>Discussion</i>. In conclusion, patients who received a sublingual sufentanil 30 mcg tablet had no significant differences in PACU length of stay or rescue analgesic usage when compared to intravenous fentanyl 50 mcg.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"5237877"},"PeriodicalIF":1.4,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Associated Factors of Postoperative Pulmonary Complications after Abdominal Surgery in the Public Hospital, Addis Ababa, Ethiopia.","authors":"Geresu Gebeyehu,&nbsp;Ashenafi Eshetu,&nbsp;Senait Aweke","doi":"10.1155/2022/8223903","DOIUrl":"https://doi.org/10.1155/2022/8223903","url":null,"abstract":"<p><strong>Background: </strong>Postoperative pulmonary complications are a wide variety of disorders that affect normal respiratory functions, which in turn lead to morbidity and mortality. The extent to which it occurs is not yet studied in most clinical settings. This study assessed the incidence and risk factors of postoperative pulmonary complications in patients undergoing abdominal surgery under general anesthesia.</p><p><strong>Methods: </strong>A multicenter, prospective cross-sectional study was conducted at Menelik II, Tikur Anbessa Specialized, Zewditu Memorial, and Yekatit 12 Memorial hospitals after obtaining ethical clearance from each hospital. The study recruited a total of 287 participants using systematic random sampling. The data collection tool included sociodemographic, surgical, and anesthetic factors. Participants were followed for 7 days postoperatively, and any respiratory problems were recorded once identified. The collected data were entered and analyzed using SPSS version 26. Both bivariate and multivariate logistic regressions were used for analysis. A <i>p</i> value of <0.05 was considered statistically significant.</p><p><strong>Results: </strong>About 33% of the participants that underwent abdominal surgery developed postoperative pulmonary complications. Age > 65 years (AOR = 12.091, 95% CI = 3.310-44.169), duration of surgery >3 hours (AOR = 11.737, 95% CI = 3.621-38.039), preoperative oxygen saturation <94% (AOR = 10.671, 95% CI = 3.794-30.016), and postoperative serum albumin level <3.5 g/dl (<i>p</i> value <0.001) were associated with postoperative pulmonary complications significantly. <i>Conclusion and Recommendations.</i> The incidence of postoperative pulmonary complications after abdominal surgeries was high. Age >65years, duration of surgery >3 hours, preoperative SpO2% <94%, cigarette smoking, and postoperative serum albumin level <3.5 g/dl were factors strongly associated with postoperative pulmonary complications. We recommend special care for elderly patients, limit the surgical duration to less than 3 hours, treat the underlying cause of desaturation, and correct postoperative serum albumin to prevent the occurrence of postoperative pulmonary complications.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"8223903"},"PeriodicalIF":1.4,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9279106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-Based Neonatal Resuscitation Education for Undergraduate Anesthesia Students: A Pre- and Post-Evaluation of Knowledge and Clinical Skills.","authors":"Debas Yaregal Melesse,&nbsp;Henos Enyew Ashagrie","doi":"10.1155/2022/7628220","DOIUrl":"https://doi.org/10.1155/2022/7628220","url":null,"abstract":"<p><strong>Background: </strong>Nearly one in five hundred babies unexpectedly need resuscitation at birth, and the need for resuscitation is often unpredictable. A large majority of these deaths occur in low-resource settings and are preventable. Appropriate resuscitation techniques are crucial to the survival of newborn infants. Therefore, producing skilled health professionals in teaching institutions is mandatory to perform this activity.</p><p><strong>Objective: </strong>The study aimed a pre- and post-evaluation of knowledge and clinical skills performance of anesthesia students completing simulation-based neonatal resuscitation training at a Teaching Referral Hospital.</p><p><strong>Methods: </strong>A pre-post-intervention study was conducted on undergraduate final-year anesthesia students at Comprehensive and Specialized Teaching Referral Hospital, Ethiopia. We used a validated checklist to follow the students' performance (American Heart Association, 2005, and Ogunlesi et al., 2012). The data were collected through this checklist. The collected data were analyzed with statistical package for social sciences (SPSS) version 20. Categorical variables were analyzed with chi-square test, and a <i>p</i>-value <0.05 was considered as statistically significant.</p><p><strong>Results: </strong>A total of 51 students participated in the study. Twenty of them were females. The pre-intervention knowledge of the respondents about aspects of evaluation for neonatal resuscitation was 90.2%, and post-intervention was 94.1%; the knowledge of the respondents about aspects of appropriate actions at pre- and post-interventions was 73.4% and 83.1%, respectively. <i>Conclusions and recommendations</i>: This study showed that there was improvement of post-interventions knowledge and clinical skills of undergraduate anesthesia students for both aspects of evaluation and appropriate actions for neonatal resuscitation. We recommend that students who attached clinical anesthesia practice should take at least simulation-based training at skill laboratories timely.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"7628220"},"PeriodicalIF":1.4,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9249533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness among Pregnant Women about Epidural Analgesia: A Cross-Sectional Study.","authors":"Waad M Almuntashiri,&nbsp;Aseel S Mutawakkil,&nbsp;Amjad S Alghamdi,&nbsp;Razan D Alqarni,&nbsp;Alaa M Althubaiti,&nbsp;Haifaa S Kayal","doi":"10.1155/2022/7388833","DOIUrl":"https://doi.org/10.1155/2022/7388833","url":null,"abstract":"<p><strong>Background: </strong>Epidural analgesia (EPA) is an effective anesthetic technique to overcome pain during labor. This study aimed to evaluate the current awareness of EPA among pregnant women.</p><p><strong>Methods: </strong>We carried out a cross-sectional study using a questionnaire to measure awareness about EPA among pregnant women visiting the obstetrics and gynaecology clinic in King Abdulaziz Medical City in Jeddah. Following the results, a group of women was selected and educated by trained medical students.</p><p><strong>Results: </strong>This study comprised 105 women. We found that 25 (23.8%) respondents revealed a complete lack of knowledge regarding EPA, 63 (60%) showed minimal awareness, and 17 (16.2%) were aware of EPA from various sources. The gravidity and history of EPA administration were significantly associated with knowledge. Multigravida women and those who had received EPA showed higher level of knowledge (<i>p</i>=0.048 and <i>p</i> < 0.001, respectively). In addition, there was a significant association between the level of education and request for EPA (<i>p</i>=0.027). Forty-one participants were enrolled in an educational program that explained the importance of EPA. Twenty (48.8%) women decided to undergo EPA during delivery; however, 7 (17.7%) refused and 14 (34.1%) were not sure about their decision.</p><p><strong>Conclusion: </strong>This study revealed a lack of awareness about EPA among pregnant women. Educational programs were effective as many participants chose EPA following the educational session as a form of pain relief during labor. We recommend the implementation of routine education on EPA in vaginal delivery during antenatal visits for all pregnant women.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":" ","pages":"7388833"},"PeriodicalIF":1.4,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}