GENERAL ANAESTHESIA FOR LOWER SEGMENT CAESAREAN SECTION - WILL THE POST GRADUATES BITE THE BULLET OR DODGE IT?

Lavanya Mandhal; Priya B.Naik

Volume : VIII, Issue : I, January - 2019

GENERAL ANAESTHESIA FOR LOWER SEGMENT CAESAREAN SECTION - WILL THE POST GRADUATES BITE THE BULLET OR DODGE IT?

Lavanya Mandhal, Priya B. Naik

Abstract :

BACKGROUND AND AIMS: Providing general anaesthesia in high–risk parturient is challenging and requires specialized training. Maternal and foetal risks are significantly higher in general anaesthesia compared to regional techniques and hence neuraxial techniques have become the preferred method for caesarean deliveries. The aim of this study was to determine the level of exposure to obstetric general anaesthesia among postgraduates and indications and airway challenges encountered. MATERIAL AND METHODS: Questionnaire survey conducted among 80 postgraduates in second and third year of anaesthesia training in medical colleges of Mangalore. Statistical analysis was done using software SPSS version 22 and data was expressed in numbers and percentages. RESULTS: It was observed that mean number of intubation done by a postgraduate was 5.74(SD=4.45).Frequency of difficult airway cases encountered was 16(20%) and 11(13.8%) were not satisfied with training and exposure in giving general anaesthesia for caesarean section. CONCLUSION: Postgraduates had overall limited exposure and training in administering general anaesthesia to caesarean section and which can be overcome by simulation based training for airway management and skill lab workshops