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  • Porodna področna analgezija v SB Jesenice v letu 2006 = Obstetric regional analgesia in the Jesenice general hospital in year 2006
    Kern, Aleksandra ; Jurekovič, Vlado
    Background The aim of this retrospective analysis of the obstetric regional analgesia (ORA) in Jesenice General Hospital in year 2006 was to evaluate our work and present results. We analysed ... workload, quality of the analgesia and patientsć satisfaction. We also estimated the OR for vacuum extraction (VE) innulliparous labouring women having ORA. We compared quality of analgesia andtotal local analgesic consumption in nulliparous women having VE or spontaneous delivery. Methods We performed retrospective analysis of labours with ORA in year 2006. All women received epiduraly mixture of 0.1 % bupivacaine with 2 g of fentanyl per ml in intermittent boluses.The labour pain was assessed using visual analogue scale (VAS). We used median and interquartile range to describe distribution of these values and mean with standard deviation to describe distribution of other data (local anaesthetic consumption). We considered patient with pain VAS 3 or less adequately treated, VAS 4 and 5 sufficiently and VAS 6 and more insufficiently treated. We used odds ratio as measurement of risk for VE, t-test for differences in local anaesthetic consumption and Mann-Whitney test to evaluate differences inpain between tested groups. Results 225 labouring women opted for ORA or 38%of all labouring women in year 2006. We performed 224 ORA, 59% during regular work, 41% during turn of duty. 18% of ORA were performed between 10 p.m. and 7.00 a.m. In 98% of cases epidural analgesia was used. Anaesthesiologic work took 16 minutes in average (SD 6.06). Analgesia was started at VAS median 5 (IQR 4-6.5) and at average cervical dilatation 4.1 cm (SD 1.4). Average
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 76, št. 11, nov. 2007, str. 745-751)
    Type of material - article, component part
    Publish date - 2007
    Language - slovenian
    COBISS.SI-ID - 237354752

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    Digitalna knjižnica Slovenije - dLib.si

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