AN EXAMPLE OF PHYSICIAN—NURSES COLLABORATION: DELEGATION OF SPINAL ANAESTHESIA FOR NURSE ANAESTHETISTS.

Hassan Alaoui* and Abderrahmane Elwali

ABSTRACT

Backgrund and aims: We report our experience of a physician-nurses delegation about the spinal anaesthesia by a nurse anaesthetists both trained and qualified to deal with the reduced number of medical staff in a district hospital. Patients and methods: Through a prospective study of two years 2016-2017, all the acts of spinal anesthesia did by a nurse anaesthetists were collected and the number of successful puncture, also the number of calls to the anesthesiologist, the failure rate of the block of spinal anesthesia and finally incidents and complications occurred. Results: Our nurses have arrived to make spinal anaesthesia in 852 sicks or about 72% of all spinal anesthesia, with successful punctures in 95.2% of cases and block failure in 2.5%, and post dural punture headaches in only 1.4%. Conclusion : Subject to rigorous training, a selection previously of a sicks and a full availability of anesthesiologist, our nurses have arrived to make spinal anaesthesia with efficiently and smallest incidents and complications.

Keywords: Physician-nurses delegation, nurse anaesthetist, spinal anaesthesia.