A Survey of Aseptic Techniques for Labor Epidurals by Anesthesiologists in Tertiary Care Hospitals of Karachi

Aseptic Techniques for Labor Epidurals by Anesthesiologists

Abstract

Background: This study aimed to investigate the current practices of physicians regarding the essential components of aseptic precautions during labor epidural anesthesia in tertiary care hospitals in Karachi. By understanding the perspectives of anesthesiologists on aseptic techniques, this research seeks to inform improvements in clinical practice and the development of standardized care in this critical aspect of obstetric anesthesia.

Methods: One hundred forty-five anesthesiologists from several Karachi teaching facilities were enrolled in this cross-sectional survey through a convenience sampling technique. Upon their voluntary consent, they were provided with the questionnaire to administer, their demographic information, and preoperative, surgical, and postoperative practices.

Results: A total of 145 anesthesia consultants and specialists consisting of 37.93% female and 62.07% male practicing in Karachi’s tertiary care hospitals were included in this survey. The average age of the participants was 33.50±6.95 years. Most (73%) worked in private institutes, and 27% worked in public. Regarding aseptic preparation, 75.2% of anesthesiologists used pyridine before conducting epidurals, while >85% removed their accessories and followed the protocol of sterilization. Most participants (>50%) used appropriate solutions for sterilization and perceived cleanliness. In comparison, nearly 82% to 89% of respondents agreed that all patients and support personnel in the room needed to wear head and face masks. 

Conclusion: The survey highlights the variability in the practice of aseptic technique among anesthesiologists during labor epidural insertion. The findings underscore the need for evidence-based guidelines to standardize procedures and enhance patient safety.

DOI: https://doi.org/10.59564/amrj/02.02/007