Anesthetic For Cesarean Section: The Current Practice in Kurdistan Region-Iraq

Ahmed Abdulkader, Manhal; Naser Mohammed, Haider; Mohammed Saleh, Hishyar

	Anesthetic For Cesarean Section: The Current Practice in Kurdistan Region-Iraq
Medical Journal of Babylon
Article 1, Volume 14, Issue 1, 2017, Pages 8-19
Authors
Manhal Ahmed Abdulkader; Haider Naser Mohammed; Hishyar Mohammed Saleh
Abstract
A national survey designed to find out the preferred drugs choices for the induction and maintenance of general anesthesia as well as post-delivery analgesia for cesarean section. All members of Kurdistan Anesthesiologist Association were invited to respond this survey.58% (n = 94) response rate is achieved. Propofol is the induction agent of choice being used by 79% (n = 74) of respondents. The main reasons for this agreement about propofol use are its faster recovery effects (33%) and antiemetic properties (26.9%). The most commonly used agent for maintenance is Isoflurane 56% (n = 53) to be followed by halothane (36%, n = 34). However, sevoflurane will be the preferred agent for induction and maintenance if financial constraints withheld. Fentanyl (37%, n = 55) and meperidine (35%, n = 51) are the routinely used analgesic opioids post-delivery with general anesthesia for Cesarean section. 79% of respondents (n = 74) prefers to perform Transversus Abdominis Plane (TAP) block as postoperative analgesia in obstetric anesthesia if possible. The drug of choice for induction of obstetric anesthesia according to current national practice is propofol according to this survey. Anesthesiologists do not support the change to another agent, and they are fairly satisfied with their choice.
Keywords
Anesthesia; obstetric; induction; Propofol; cesarean section

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