• E Fiszer, V Rabkin, B Aptekman, E Reider, R Chavez, A Lavie, I Matot, and C F Weiniger.
• Division of Anesthesia, Critical Care & Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. Electronic address: elishevafiszer@gmail.com.
• Int J Obstet Anesth. 2024 Sep 14; 61: 104267104267.

BackgroundNeuraxial anesthesia is the preferred anesthesia mode for cesarean delivery (CD). The primary study aim was to study the rate of neuraxial anesthesia for cesarean delivery before and after educational strategies were implemented, focusing on neuraxial anesthesia use for CD.MethodsWe performed a retrospective analysis of the mode of anesthesia for CD. Educational strategies to inform about neuraxial anesthesia for CD included interdisciplinary daily handovers and ward rounds, and interdisciplinary academic meetings and simulation sessions. We retrieved data from the hospital electronic record for mode of anesthesia for CD, intravenous supplementation, to assess the impact of our strategies on neuraxial anesthesia use for CD (2014-2023).ResultsThe rate of neuraxial anesthesia increased from 89.8% in 2014 to 96.3% in 2023, with corresponding decrease in general anesthesia from 10.2% to 4.5% for all CD. The use of labor epidural augmentation for unplanned CD increased from 31.9% to 55.1%. Intravenous supplementation with spinal anesthesia for unplanned CD increased from 18.1% to 32.1%.ConclusionsThis study demonstrates the utility of educational strategies to increase neuraxial anesthesia use and highlights the importance of proactive interdisciplinary labor management.Copyright © 2024 Elsevier Ltd. All rights reserved.

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