Evidence map›Paper›PMID 39342099›Full record

ArticleBMC anesthesiology2024

Insights into obstetric anesthesia practices: a quantitative survey among physicians across Arab countries.

Nancy Abou Nafeh, Fatima Msheik El Khoury, Amro Khalili, Carine Zeeni, Gloria Al Karaki, Raghad Mroueh, Thuraya HajAli, Sahar Siddik-Sayyid

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In one paragraph

Article in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nancy Abou Nafeh *Department of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Fatima Msheik El Khoury *Department of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Amro KhaliliDepartment of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Carine ZeeniDepartment of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Gloria Al KarakiDepartment of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Raghad MrouehDepartment of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Thuraya HajAliDepartment of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Sahar Siddik-SayyidDepartment of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, Beirut, Lebanon. ss01@aub.edu.lb.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstetric anesthesia guidelines are essential for standardizing obstetric anesthesia practices globally and ensuring high-quality patient care. However, practices may vary across different settings, and there are limited data from Arab countries. This study aims to gain insights into obstetric anesthesia practices in several major hospitals across Arab countries.

methodsA questionnaire was emailed to 85 obstetric anesthesiologists/anesthesia chairpersons in major hospitals, including academic medical institutions and central hospitals, across 11/22 Arab countries. This survey gathered data on key structural and process-related obstetric anesthesia indicators.

resultsOut of 85 contacted, we had 56 responses (65.8%), with 41 being fully completed, providing insights into obstetric anesthesia indicators. Regarding structure: 31 (76%) hospitals had an operating room adjacent to the delivery room, all had intensive care units, and 22 (54%) had a lead obstetric anesthesiologist. For equipment, 19 (46%) had a video laryngoscope in the delivery suite, and 20 (49%) occasionally used ultrasound for epidurals. Regarding process: 33 (81%) held regular meetings, and 21 (51%) conducted research. Before epidural and spinal procedures, 26 (63%) and 28 (68%) required coagulation studies for patients without a history of hemorrhagic complications, while 38 (93%) and 36 (88%) mandated a platelet count, respectively. For labor analgesia, 34 (83%) primarily used epidurals, and 15 (37%) placed preemptive catheters in high-risk pregnancies. For cesarean delivery, 40 (98%) used spinals, with 16 (39%) using intrathecal morphine and 22 (54%) administering aspiration prophylaxis before general anesthesia. Regarding spinal-induced hypotension, 6 (15%) used prophylactic phenylephrine infusion.

conclusionThis survey highlights variations in obstetric anesthesia practices among various major hospitals in several Arab countries, compared to international recommendations. It emphasizes the need for obstetric anesthesia registries in the Arab world for future research. Further studies are required to outline country-specific practices, improve resource allocation, and enhance obstetric population safety and satisfaction.

Indexed as

Anesthesia, ObstetricalAnesthesiologistsCesarean SectionFemaleHumansMiddle EastPractice Patterns, Physicians'PregnancySurveys and QuestionnairesAnesthesia, ObstetricalArab countriesMajor hospitalsPregnancySurveys and questionnaires

Identifiers

PMID39342099
PMCPMC11437647

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.