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ANALGESIA

A Retrospective Review of 34,109 Epidural Anesthetics for Obstetric and Gynecologic Procedures at a Single Private Hospital in Turkey

Kaan Katircioglu, MD^*, Levent Hasegeli, MD^*, H. Fehmi Ibrahimhakkioglu, MD^*, Berkay Ulusoy, MD^*, and Huseyin Damar, MD^*

From the Department of Anesthesiology and Reanimation, *Izmir Cinarli Obstetric and Gynecologic Hospital, and Izmir Ataturk Training and Research Hospital, Izmir, Turkey.

Address correspondence and reprint requests to Kaan Katircioglu, MD, Department of Anesthesiology and Reanimation, Izmir Ataturk Training and Research Hospital, Basinsitesi, Izmir, Turkey. Address e-mail to kaankat{at}yahoo.com.

Abstract

BACKGROUND: We examined the safety of the routine use of epidural anesthesia by an experienced anesthetic team in a select group of obstetric and gynecologic patients.

METHODS: All anesthetic records and an obstetric department database from 1993 to 2006 were retrospectively reviewed (n = 35,628 cases). Success rate, major complication rates, and mortality rates were the major end-points of the study.

RESULTS: We performed 34,109 epidural blocks in obstetric and gynecologic anesthesia. The epidural rate increased from 57% to 96% over a 14-yr period. Permanent neurological sequel, cardiac arrest, or mortality and maternal mortality were not seen during this period.

CONCLUSIONS: Epidural anesthesia/analgesia, as performed in a private hospital in Turkey by five experienced anesthesiologists for a select group of patients, was a reliable and safe procedure.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999