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- Online group consultation on labor analgesia for pregnant women: is it feasible?Publication . Tomás, Ana Sofia; Dias, Raquel M.; Cabido, Hermínia; Nunes, Catarina S.; Lemos, PauloIntroduction: Our department of anesthesiology has been conducting weekly, for several years, a group consultation to educate childbearing people about labor analgesia. The emergence of the COVID-19 pandemic forced an adaptation to a virtual consultation format. Since there are no studies about online group consultation on labor analgesia in order to understand its role, an anonymous questionnaire was created and applied. The objective was to evaluate this new consultation format, namely the ease of access, usefulness of the content provided, and its impact on the satisfaction and experience of childbirth. Materials and methods: An observational prospective study was conducted. A questionnaire was sent by email after childbirth to all childbearing people participating in the online consultation from January 20, 2021, to March 2, 2022. SPSS Statistics version 28.0 (IBM Corp. Released 2021. IBM SPSS Statistics for Windows, Version 28.0. Armonk, NY: IBM Corp) was used for statistical analysis. Internal consistency was analyzed using Cronbach’s alpha. Results: A total of 563 participants were eligible, and 404 (71.8%) completed questionnaires were analyzed. A few technical problems were reported. The participants considered their privacy respected, and more than 90% were satisfied with the content of the online consultation, the opportunity to pose questions, and the help managing expectations. Considering face-to-face consultation, 89.6% of patients considered the online format an effective alternative, 63.2% believed it could replace the old model, and 96.3% would recommend it. Conclusions: Our study demonstrates that online consultation on labor analgesia was a good strategy during the COVID-19 pandemic and has the potential to be used in this format in the future.
- Risk factors associated with difficult epidural placement: a retrospective studyPublication . Saraiva, Rita; Moreira, J.; Nunes, Catarina S.; Lemos, Paulo; Costa, J.
- The use of vasopressors during anaesthesia for caesarean section: a retrospective observational studyPublication . Guimarães, Henrique; Pombo, André; Araújo, Ana; Nunes, Catarina S.; Cabido, Hermínia; Lemos, Paulo
- Knowledge and vews of common citizens regarding ambulatory surgery: a pilot international surveyPublication . Lemos, Paulo; Rodrigues, Inês V.; Nogueira, Daniela R.; Medeiros, Inês F.; Pinto, Nuno R.; Gothen, Margarida C.; Salgado, Beatriz D.; Poças, João C.; Miguel, Isabel R.; Santos, Carolina I.; Carvalho, Helena M.; Morais, Ana S.; Oliveira, Maria J.; Nunes, Catarina S.Background and Aims: Ambulatory surgery (AS) has increased rapidly in most countries since the 1990’s. There is an increasing effort by national healthcare systems to disseminate clinical information about this type of surgical environment to their populations. We conducted a public survey to understand what citizens think about AS and its organization in countries across the world. Methods: This prospective observational study used a survey presented on a tablet computer. Subjects were asked about their surgical experience and those submitted to AS were asked about their satisfaction rate. Subjects were also asked if they associate AS to a surgical programme and the level of information obtained from their National Health Services. Results: 400 citizens from 47 different countries were divided in six geographical areas, European (n=4, North, Central, East and South) and non-European (n=2, Developed and Non-Developed Countries / Emergent Economies). 51.0% reported they had heard of AS, and 29.3% had undergone an AS procedure. Those who had undergone AS, reported a high level of satisfaction with the procedure, with no differences in geographical areas (P=0.229). 90.5% would recommend AS to relatives and friends. Nevertheless, those interviewed wished to have more information related to AS from their National Health Authorities (NHA). This was significant in East, South-European, and Non-Developed NonEuropean countries (P<0.001). Conclusion: The majority of the citizens relates AS as a surgical programme. Although more than 90% of all interviewed would recommend this surgical setting, all agree that more information related to AS should be available from their NHA.
- Postoperative analgesia for caesarean section after a general anaesthesia: a retrospective observational studyPublication . Guimarães, Henrique; Silva, Telmo; Pombo, André; Nunes, Catarina S.; Cabido, Hermínia; Lemos, Paulo
- Postdural puncture headache in the obstetric population: a new approach?Publication . Xavier, João Manuel; Pinho, Sílvia; Silva, Jorge; Nunes, Catarina S.; Cabido, Hermínia; Fortuna, Rosário; Araújo, Rita; Lemos, Paulo; Machado, HumbertoThe gold standard for the treatment of postdural puncture headache (PDPH) is the epidural blood patch (EBP). Regional techniques-sphenopalatine ganglion block (SPGB), greater occipital nerve block (GONB) and trigger point infiltration (TPI)-can also be used for the treatment of PDPH. Our objective was to evaluate the efficacy of these peripheral nerve blocks (PNBs) in the treatment of PDPH.
- Epidural top-up for caesarean section: a retrospective observational studyPublication . Guimarães, Henrique; Silva, Telmo; Pombo, André; Araújo, Ana; Nunes, Catarina S.; Cabido, Hermínia; Lemos, Paulo