St Michael's Hospital, Bristol, UK.
Anaesthesia. 2010 Apr;65(4):362-8. doi: 10.1111/j.1365-2044.2010.06265.x.
A national survey of anaesthetic and peri-operative management of category-1 caesarean section was sent to 245 consultant-led maternity units. There was a 70% response rate. The median (IQR [range]) general anaesthetic rate was 51% (29%-80% [6%-100%]), 12% (9%-16% [3%-93%]), 4% (2%-5% [<1%-18%]), for category-1 caesarean section, categories 1-3 (non-elective/emergency) and category-4 (elective) caesarean section, respectively. The main operating theatre for caesarean section is on the delivery suite in 151 (88%) units, and 112 (66%) units also have a second theatre in the same location. One hundred and thirty-nine (81%) use the standard urgency classification described in the NICE caesarean section guideline. However, only 72 (42%), 24 (14%), and 16 (9%) units comply with this guideline's recommended decision-delivery intervals for category-1 (< or = 30 min), category-2 (< or = 30 min) and category-3 (< or = 75 min) caesarean sections, respectively. Practice in the smaller units was similar to that in the larger units, although there was less availability of a dedicated anaesthetist, intra-uterine resuscitation guidelines and operating theatres on the delivery suite in the smaller units.
一项针对 1 类剖宫产术的麻醉和围手术期管理的全国性调查已发送至 245 家顾问领导的产科单位。回复率为 70%。剖宫产术、1-3 类（非紧急/紧急）和 4 类（选择性）剖宫产术的全麻率中位数（IQR [范围]）分别为 51%（29%-80% [6%-100%]）、12%（9%-16% [3%-93%]）、4%（2%-5% [<1%-18%]）。151 家单位（88%）的主要剖宫产手术场所是产房，112 家单位（66%）还在同一地点设有第二间手术室。139 家单位（81%）使用 NICE 剖宫产指南中描述的标准紧急分类。然而，只有 72 家（42%）、24 家（14%）和 16 家（9%）单位符合该指南推荐的 1 类（<=30 分钟）、2 类（<=30 分钟）和 3 类（<=75 分钟）剖宫产的决策-分娩间隔。尽管较小单位的手术室配备、专门麻醉师、宫内复苏指南的可及性均不如较大单位，但较小单位的这些实践与较大单位类似。
