title: [Risks acceptability related to obstetrical epidural analgesia].
abstract: OBJECTIVE
  Evaluation of the acceptability of complications related to obstetrical epidural analgesia in two populations, parturients and anesthesiologists.
  
  
  METHODS
  Prospective, transversal, single center study.
  
  
  METHODS
  Evaluation of the acceptability of complications associated with obstetric epidural analgesia performed using a questionnaire of six clinical scenarii in two populations: parturients cared at the University maternity of Nancy and anesthesiologists of Lorraine. Patients were interviewed by an anesthesiologist, physicians via Internet. Acceptability was assessed using two tools, the absolute acceptability with a visual analog scale and the relative acceptability obtained by classifying clinical scenario against each other, in ascending order of acceptability.
  
  
  RESULTS
  One hundred and forty-six parturients and 87 anesthetists assessed the acceptability of the different scenarios. The three less serious scenarios (hypotension, failure, dural tap) were acceptable for both populations. One case (spinal hematoma) was unacceptable for parturients. Three cases of varying severity (failure, dural tap, plexus injury with sequelae) were judged significantly less acceptable by patients than physicians (5.9 vs. 7.9 [P<0.001], 5.75 vs. 8.1 [P<0.01], 4.1 vs. 5.1 [P=0.035]). Multivariate analysis did not show any predictive factor of acceptability in both populations.
  
  
  CONCLUSIONS
  In this study, the overall acceptability of the inherent complications of epidural analgesia was good in the two populations. It was essentially based on the notion of severity and preventability. A large interindividual variability was observed and a better acceptance by the anesthesiologists.
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
authors.forename: O
authors.initials: O
authors.lastname: Breton
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France. Electronic address: f.vial@maternite.chu-nancy.fr.
authors.forename: F
authors.initials: F
authors.lastname: Vial
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
authors.forename: J
authors.initials: J
authors.lastname: Feugeas
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
authors.forename: K
authors.initials: K
authors.lastname: Podrez
authors.affiliation: Service d'épidémiologie et évaluation cliniques, CHU de Nancy, hôpitaux de Brabois, avenue du Morvan, 54500 Vandœuvre, France.
authors.forename: K
authors.initials: K
authors.lastname: Hosseini
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
authors.forename: S
authors.initials: S
authors.lastname: Boileau
authors.affiliation: Département d'anesthésie-réanimation, CHU de Nancy, hôpitaux de Brabois, avenue du Morvan, 54500 Vandœuvre, France.
authors.forename: P
authors.initials: P
authors.lastname: Guerci
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
authors.forename: H
authors.initials: H
authors.lastname: Bouaziz
authors.forename: F
authors.initials: F
authors.lastname: Aubert
authors.forename: G
authors.initials: G
authors.lastname: Audibert
authors.forename: J
authors.initials: J
authors.lastname: Borgo
authors.forename: Y
authors.initials: Y
authors.lastname: Chalot
authors.forename: F
authors.initials: F
authors.lastname: Didelot
authors.forename: T
authors.initials: T
authors.lastname: Fuchs-Buder
authors.forename: J
authors.initials: J
authors.lastname: Hotton
authors.forename: E
authors.initials: E
authors.lastname: Junke
authors.forename: J -M
authors.initials: J-
authors.lastname: Lalot
authors.forename: M -R
authors.initials: M-
authors.lastname: Losser
authors.forename: A
authors.initials: A
authors.lastname: Pierron
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010361:Patients; D010820:Physicians; D011247:Pregnancy; D011446:Prospective Studies; D012306:Risk; D011795:Surveys and Questionnaires
keywords: Acceptability; Acceptabilité; Adverse events related to health care; Analgésie péridurale; Epidural analgesia; Risk; Risque; Évènements indésirables liés aux soins