Journals / Bezmiâlem Science / 2020 / Cilt: 8 - Sayı: 4

Assessment of the Optimal Anaesthesia Technique for Caesarean Section and Clinical Effects on Mothers and Newborns

Sezaryen için Optimal Anestezi Tekniğinin Değerlendirilmesi, Anne ve Yenidoğan Üzerine Etkileri

Pages
411–417
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The time to the first breastfeeding,perioperative bleeding, crystalloid requirement, ephedrineconsumption, first analgesic requirement, the time of defaecationand mobilization were also measured.Results: The APGAR scores and SpO2 were lower in the GA group(p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Regional anaesthesia is mostly preferred for electivecaesarean delivery.
📊
Key Findings & Data:The APGARscore, foetal blood gas level, free O2 requirement and positivepressureventilation, phototherapy requirement, bilirubin leveland weight loss were recorded.
💡
Conclusion & Impact:The time to the first breastfeeding,perioperative bleeding, crystalloid requirement, ephedrineconsumption, first analgesic requirement, the time of defaecationand mobilization were also measured.Results: The APGAR scores and SpO2 were lower in the GA group(p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Regional anaesthesia is mostly preferred for electivecaesarean delivery. This study aimed to compare general, epiduraland spinal anaesthesia techniques in terms of their foetal andmaternal effects.Methods: Parturients undergoing elective caesarean delivery wererandomly divided into three groups: general anaesthesia (GA),epidural anaesthesia (EA), and spinal anaesthesia (SA). The APGARscore, foetal blood gas level, free O2 requirement and positivepressureventilation, phototherapy requirement, bilirubin leveland weight loss were recorded. The time to the first breastfeeding,perioperative bleeding, crystalloid requirement, ephedrineconsumption, first analgesic requirement, the time of defaecationand mobilization were also measured.Results: The APGAR scores and SpO2 were lower in the GA group(p

Özet

Amaç: Sezaryen ile doğumlarda rejyonal anestezi çoğunlukla tercih edilir. Bu çalışmada genel, epidural ve spinal anestezi tekniklerinin fetal ve maternal etkileri açısından karşılaştırılması amaçlandı Yöntemler: Sezaryen ile doğum yapan gebeler rastgele üç gruba ayrıldı: genel anestezi (GA), epidural anestezi (EA) ve spinal anestezi (SA). APGAR skoru, fetal kan gazı seviyesi, serbest O2 gereksinimi ve pozitif basınçlı ventilasyon, fototerapi gereksinimi, bilirubin seviyesi ve kilo kaybı kaydedildi. Ayrıca ilk emzirme zamanı, perioperatif kanama, kristalloid gereksinimi, efedrin tüketimi, ilk analjezik gereksinimi, ilk defekasyon ve mobilizasyon süresi ölçüldü. Bulgular: APGAR skorları ve SpO2 GA grubunda düşüktü (p

🔖

Cite This Article

SARAÇOĞLU, K. T., MEMİŞOĞLU, A., ETİ, E. Z., ERGÜN, M. O., MALÇOK, E. (2022). Assessment of the Optimal Anaesthesia Technique for Caesarean Section and Clinical Effects on Mothers and Newborns. Bezmiâlem Science, Cilt: 8 - Sayı: 4, 411–417. https://ajindex.com/articles/464025

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Lesage S. Cesarean delivery under general anesthesia: continuing professional development. Can J Anaesth 2014;61:489–503
  2. Yamashita A, Irikoma S. Comparison of inflationary non-invasive blood pressure (iNIBP) monitoring technology and conventional deflationary non-invasive blood pressure (dNIBP) measurement in detecting hypotension during cesarean section. JA Clin Rep 2018;4:5
  3. Malin GL, Morris RK, Khan KS. Strength of association between umbilical cord pH and perinatal and long term outcomes: systematic review and meta-analysis. BMJ 2010;340:c1471
  4. Jain K, Makkar JK, Subramani Vp S, Gander S, Kumar P. A randomized trial comparing prophylactic phenylephrine and ephedrine infusion during spinal anesthesia for emergency cesarean delivery in cases of acute fetal compromise. J Clin Anesth 2016;34:208–15
  5. Mardirosoff C, Dumont L, Boulvain M, Tramer MR. Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review. BJOG 2002;109:274–81
  6. Hattler J, Klimek M, Rossaint R, Heesen M. The effect of combined spinal-epidural versus epidural analgesia in laboring women on nonreassuring fetal heart rate tracings: systematic review and metaanalysis. Anesth Analg 2016;123:955–64
  7. Hess PE. What’s new in clinical obstetric anesthesia in 2015? Int J Obstet Anesth 2017;32:54–63
  8. Strouch ZY, Dakik CG, White WD, Habib AS. Anesthetic technique for cesarean delivery and neonatal acid-base status: a retrospective database analysis. Int J Obstet Anesth 2015;24:22–9
  9. Ikonomidou C, Bosch F, Miksa M, Bittigau P, Vockler J, Dikranian K, et al. Blockade of NMDA receptors and apoptotic neurodegeneration in the developing brain. Science 1999;283:70–4
  10. Jevtovic-Todorovic V, Hartman RE, Izumi Y, Benshoff ND, Dikranian K, Zorumski CF, et al. Early exposure to common anesthetic agents causes widespread neurodegeneration in the developing rat brain and persistent learning deficits. J Neurosci 2003;23:876–82
  11. Popic J, Pesic V, Milanovic D, Loncarevic-Vasiljkovic N, Smiljanic K, Kanazir S, et al. Induction of TNF-alpha signaling cascade in neonatal rat brain during propofol anesthesia. Int J Dev Neurosci 2015;44:22–32
  12. Clark RB. Hypotension and caesarean section. Br J Anaesth 2008;101:882–3
  13. Afolabi BB, Lesi FEA. Regional versus general anaesthesia for caesarean section. Cochrane Database Syst Rev 2012;10:CD004350
  14. Nishikawa K, Yokoyama N, Saito S, Goto F. Comparison of effects of rapid colloid loading before and after spinal