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Patient Satisfaction With General Anesthesia Compared to Spinal Anesthesia for Cesarean Section: A Multicenter
Suzana Sobot Novakovic1, Sanja Cuk2, Dragan Svraka1
1Anesthesiology and Critical Care, University Clinical Center of Republic of Srpska, Banja Luka, BIH.
Cureus
|July 31, 2023
Summary
Spinal anesthesia (SA) for cesarean section (CS) resulted in fewer side effects and higher patient satisfaction compared to general anesthesia (GA). Enhanced recovery after surgery protocols are recommended for elective CS.
Area of Science:
- Anesthesiology
- Obstetrics
- Surgical Care
Background:
- Patient satisfaction after cesarean section (CS) is crucial.
- Significant differences exist in outcomes, recovery, and service quality between spinal anesthesia (SA) and general anesthesia (GA) for CS.
Purpose of the Study:
- To compare patient satisfaction and anesthesia-related discomfort between SA and GA for CS.
- To evaluate the impact of anesthesia type on patient experience during cesarean delivery.
Main Methods:
- A multicenter observational study involving 1443 patients undergoing elective or emergency CS.
- Patient satisfaction was measured using the 15-question Bauer questionnaire assessing anesthesia-related discomfort and satisfaction.
- Data collected over 16 months across five medical centers.
Main Results:
- 80% of patients received GA (n=1161) and 20% received SA (n=282).
- Most common discomforts included surgical site pain (>70%), drowsiness (68%), and thirst (60%).
- Patient satisfaction exceeded 90% overall, with significantly higher satisfaction and fewer side effects reported in the SA group compared to the GA group (P < .001).
Conclusions:
- Spinal anesthesia for cesarean section is associated with fewer side effects and improved patient satisfaction compared to general anesthesia.
- Hospitals should focus on enhancing postoperative pain management and implementing Enhanced Recovery After Surgery (ERAS) protocols for elective cesarean deliveries.
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