{"created":"2025-01-14T01:42:54.268290+00:00","id":2012293,"links":{},"metadata":{"_buckets":{"deposit":"1382d68d-3922-4612-a5ee-5b851207326d"},"_deposit":{"created_by":7,"id":"2012293","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2012293"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02012293","sets":["1713853213384:1713853295607"]},"author_link":["656","453","1645"],"control_number":"2012293","item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"Anesthesiologist experience in cesareans","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"871","bibliographicPageStart":"864","bibliographicVolumeNumber":"90","bibliographic_titles":[{"bibliographic_title":"Minerva Anestesiologica","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"BACKGROUNDː Despite the requirement for meticulous management of cesarean anesthesia, no study has explored the impact of novice trainee anesthesiologists in this field. This study assessed challenges in neuraxial anesthesia for cesarean sections and compared outcomes between novice and senior anesthesiologists.\nMETHODSː We retrospectively analyzed 446 cesarean sections with neuraxial anesthesia. The primary objective was to evaluate the impact of anesthesiologists' experience on the time required to administer neuraxial anesthesia and whether maternal body mass index (BMI) influenced this relationship. Secondary objectives included examining maternal hemodynamic variability, operative details, and newborn outcomes relative to the anesthesiologist's experience.\nRESULTSː Novice anesthesiologists required a significantly longer time to perform neuraxial anesthesia (24.9 [7.1] min vs. 18.2 [7.0] min, p < 0.001) than their senior counterparts. A significant interaction was observed between anesthesiologist experience and maternal BMI on the time to administer neuraxial anesthesia (p = 0.017), with a moderate correlation between BMI and administration time for novices (r = 0.50, p < 0.001) and only a slight correlation for seniors (r = 0.17, p = 0.001). Experience level did not significantly affect intraoperative hemodynamics, Apgar scores, or umbilical cord blood gas analyses.\nCONCLUSIONSː The effect of maternal BMI on the difficulty of performing neuraxial anesthesia in parturients can be more pronounced for novice anesthesiologists than for experienced ones. Despite requiring more time to perform neuraxial anesthesia, novice anesthesiologists do not significantly affect maternal hemodynamics or newborn distress during obstetric anesthesia, provided that they are under the supervision of experienced anesthesiologists.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Edizioni Minerva Medica","subitem_publisher_language":"en"}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"This is a postprint version of the article published in Minerva Anestesiologica. This version is free to view and download to private research and study only. Not for redistribution or re-use. ©Edizioni Minerva Medica. The final published article is available online on Minerva Medica website at https://doi.org/10.23736/S0375-9393.24.18154-0.","subitem_rights_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"03759393","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"18271596","subitem_source_identifier_type":"EISSN"},{"subitem_source_identifier":"AA00739739","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"embargoed 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anesthesia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"trainee anesthesiologist","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Impact of anesthesiologist experience on neuraxial anesthesia outcomes in cesarean sections","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Impact of anesthesiologist experience on neuraxial anesthesia outcomes in cesarean sections","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1713853295607"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-10-31"},"publish_date":"2024-10-31","publish_status":"0","recid":"2012293","relation_version_is_last":true,"title":["Impact of anesthesiologist experience on neuraxial anesthesia outcomes in cesarean sections"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-01-29T08:17:34.075501+00:00"}