title: [Analysis of resident anesthesiologists' difficulties with epidural analgesia for labor and childbirth and complication rates].
abstract: OBJECTIVE
  To analyze the number of attempts to provide an epidural or spinal-epidural block for labor and complication rates when the procedures are performed by resident or staff anesthesiologists.
  
  
  METHODS
  Prospective, observational study in all women who asked for epidural or spinal-epidural analgesia for labor and childbirth over a 2-month period.
  
  
  RESULTS
  We enrolled 1097 women. The procedure was performed by residents in 74.6% of the cases. The mean (SD) number of attempts needed to perform the technique was 1.46 (0.9) regardless of whether the anesthesiologist was a resident or on staff. Accidental dural puncture occurred in 14 cases (1.3%). The most common complication during puncture was paresthesia (34.1%), and the difference between the rates for staff anesthesiologists and residents was not significant. Asymmetric analgesia was the most common complication during the dilatation phase (37.4%).
  
  
  CONCLUSIONS
  The number of attempts needed was 1.28 for staff anesthesiologists and 1.52 for residents (P = .02). The differences between the 2 groups in the incidences of complications (blood noted during puncture, accidental dural puncture, pain during expulsion, repeat epidural or spinal puncture, nausea, or back pain) were not significant.
authors: Servicio de Anestesiología y Reanimación, Hospital Universitario "La Paz", Madrid.
authors: M
authors: M
authors: De Blas García
authors: E
authors: E
authors: Guasch Arévalo
authors: F
authors: F
authors: Martínez Jiménez
authors: E
authors: E
authors: Gredilla Díez
authors: F
authors: F
authors: Gilsanz Rodríguez
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D000776:Anesthesiology / Q000193:education*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007744:Obstetric Labor Complications / Q000628:therapy*; D011247:Pregnancy; D011446:Prospective Studies