Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia
Introduction. Neuraxial labor analgesia has become an integral part of modern obstetric anesthetic practice. Presence of a familiar person during its placement may be beneficial to the patient. A survey was sent to anesthesiologists practicing obstetric anesthesia in the USA to determine their views...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/3481975 |
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| author | Sangeeta Kumaraswami Suryanarayana Pothula Mario Anthony Inchiosa Keshar Paul Kubal Micah Alexander Burns |
| author_facet | Sangeeta Kumaraswami Suryanarayana Pothula Mario Anthony Inchiosa Keshar Paul Kubal Micah Alexander Burns |
| author_sort | Sangeeta Kumaraswami |
| collection | DOAJ |
| description | Introduction. Neuraxial labor analgesia has become an integral part of modern obstetric anesthetic practice. Presence of a familiar person during its placement may be beneficial to the patient. A survey was sent to anesthesiologists practicing obstetric anesthesia in the USA to determine their views. Methods. The survey queried the following: existence of a written policy; would they allow a visitor; visitor’s view, sitting or standing; reasons to allow or not allow a visitor; and influence by other staff on the decision. The responses were analyzed using multiple chi-square analyses. Results. Most practitioners supported allowing a visitor during placement. Reduction of patient anxiety and fulfillment of patient request were the major reasons for allowing a visitor. Sitting position and no view of the workspace were preferred. Visitor interference and safety were cited as the major reasons for precluding a visitor. Nonanesthesia providers rarely influenced the decision. Epidural analgesia was the preferred technique. Essentially no bias was found in the responses; there was statistical uniformity regardless of procedures done per week, years in practice, professional certification, geographic region (rural, urban, or suburban), or academic, private, or government responders. Conclusion. The practice of visitor presence during the placement of neuraxial labor analgesia is gaining acceptance. |
| format | Article |
| id | doaj-art-3323cceecfd44a1dbe46c7c1cf0e0b39 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-3323cceecfd44a1dbe46c7c1cf0e0b392025-02-03T01:01:47ZengWileyAnesthesiology Research and Practice1687-69621687-69702018-01-01201810.1155/2018/34819753481975Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor AnalgesiaSangeeta Kumaraswami0Suryanarayana Pothula1Mario Anthony Inchiosa2Keshar Paul Kubal3Micah Alexander Burns4Department of Anesthesiology, New York Medical College at Westchester Medical Center, 100 Woods Road, Macy Pavilion 2391, Valhalla, NY 10595, USADepartment of Anesthesiology, New York Medical College at Westchester Medical Center, 100 Woods Road, Macy Pavilion 2391, Valhalla, NY 10595, USADepartment of Pharmacology and Anesthesiology, New York Medical College at Westchester Medical Center, 100 Woods Road, Macy Pavilion 2391, Valhalla, NY 10595, USADepartment of Anesthesiology, New York Medical College at Westchester Medical Center, 100 Woods Road, Macy Pavilion 2391, Valhalla, NY 10595, USADepartment of Anesthesiology, New York Medical College at Westchester Medical Center, 100 Woods Road, Macy Pavilion 2391, Valhalla, NY 10595, USAIntroduction. Neuraxial labor analgesia has become an integral part of modern obstetric anesthetic practice. Presence of a familiar person during its placement may be beneficial to the patient. A survey was sent to anesthesiologists practicing obstetric anesthesia in the USA to determine their views. Methods. The survey queried the following: existence of a written policy; would they allow a visitor; visitor’s view, sitting or standing; reasons to allow or not allow a visitor; and influence by other staff on the decision. The responses were analyzed using multiple chi-square analyses. Results. Most practitioners supported allowing a visitor during placement. Reduction of patient anxiety and fulfillment of patient request were the major reasons for allowing a visitor. Sitting position and no view of the workspace were preferred. Visitor interference and safety were cited as the major reasons for precluding a visitor. Nonanesthesia providers rarely influenced the decision. Epidural analgesia was the preferred technique. Essentially no bias was found in the responses; there was statistical uniformity regardless of procedures done per week, years in practice, professional certification, geographic region (rural, urban, or suburban), or academic, private, or government responders. Conclusion. The practice of visitor presence during the placement of neuraxial labor analgesia is gaining acceptance.http://dx.doi.org/10.1155/2018/3481975 |
| spellingShingle | Sangeeta Kumaraswami Suryanarayana Pothula Mario Anthony Inchiosa Keshar Paul Kubal Micah Alexander Burns Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia Anesthesiology Research and Practice |
| title | Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia |
| title_full | Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia |
| title_fullStr | Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia |
| title_full_unstemmed | Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia |
| title_short | Anesthesiologists’ Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia |
| title_sort | anesthesiologists preferences regarding visitor presence during placement of neuraxial labor analgesia |
| url | http://dx.doi.org/10.1155/2018/3481975 |
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