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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2007 / Cilt: 35 - Sayı: 4

The perioperatively effect of spinal and general anaesthesia on mathernal cardiac enzymes in non-cardiac caesarean section

Kardiyak hastalığı olmayan sezaryen olgularında genel anestezi ve spinal anestezinin perioperatif dönemde maternal kardiyak enzim düzeyleri üzerine etkileri

Nimet ŞENOĞLU
Abdullah SÖKMEN
Beyazıt ZENCİRLİ
Meral EZBERCİ
Kemal BOZKURT
Hafize ÖKSÜZ
Pages
235–240
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Statistical analysis was performed using Annova, Friedman, chi-square test with p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: In many cases, physiological changes may occured account for electrocardiographic (ECG) abnormalities in late pregnancy.
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Key Findings & Data:Our aim is investigated to ST-segment changes and myocardial ischaemia in patients undergoing elective caesarean section under regional and general anaesthesia using ECG monitoring and serum analysis of cardiac troponins which specific and sensitive for myocardium.Material and Method: We studied 50 patients (ASA I-II) undergoing elective caesarean section.
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Conclusion & Impact:Statistical analysis was performed using Annova, Friedman, chi-square test with p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: In many cases, physiological changes may occured account for electrocardiographic (ECG) abnormalities in late pregnancy. Our aim is investigated to ST-segment changes and myocardial ischaemia in patients undergoing elective caesarean section under regional and general anaesthesia using ECG monitoring and serum analysis of cardiac troponins which specific and sensitive for myocardium.Material and Method: We studied 50 patients (ASA I-II) undergoing elective caesarean section. ECG monitoring (DII and V5) was commenced on each patient on preoperative in the operation room and continued for 4 h postoperatively. Patients receiving general anaesthesia (Group G) were induced with thiopentone, lidocain, rocuronium and maintained with 50 % nitrous oxide in oxygen, 1-1.5 % sevoflurane, 1 mcg kg-1 iv fentanil after delivery of the infant. Hyperbaric (0.5 %) bupivacaine 1.8-2 mL was injected to patients which receiving spinal anaesthesia (Group S) in the L4-5 interspace with the patient in the sitting position. The analgesic regimens were started early postoperatively as patient controlled analgesia with tramadol in both groups. Peroperative DII and V5 ECG monitoring continued for 4 hours postoperatively. Cardiac troponins were measured during the preoperative, peroperative (30th minutes after the incision) and postoperative 4 th hour. Statistical analysis was performed using Annova, Friedman, chi-square test with p

Özet

Giriş: Gebeliğin geç dönemlerinde pek çok vakada fizyolojik değişiklikler ve buna bağlı EKG anormallikleri olabileceği söylenmektedir. Amacımız EKG monitörizasyonu ve kalp kasına spesifik ve sensitif kardiyak troponinleri analiz ederek, spinal veya genel anestezi ile elektif olarak sezaryen ameliyatı olan hastalarda, ST segment değişiklikleri ve myokardiyal iskemiyi araştırmaktır.Gereç ve Yöntem: Elektif sezaryen planlanan ASA I-II, 50 gebe çalışmaya alındı. Her 2 grupta hastalara peroperatif ve postoperatif 4 saat, DII-V5 derivasyonlarında EKG monitörizasyonu uygulandı. Genel anestezi verilen grupta (Grup-G) olgulara lidokain, tiyopental, rokuronyum ile anestezi indüksiyonu ve doğuma kadar % 50 N2O-Oksijen, sonrasında % 1-1.5 sevofluran, 1 mcg.kg-1 fentanil ile anestezi idamesi sağlandı. Spinal anestezi uygulanan grupta (Grup-S) oturur pozisyonda, L4-5 seviyesinden, 1.8-2 ml hiperbarik bupivakain (% 0.5) uygulandı. Her 2 grupta postoperatif-hasta-kontrollü-analjezi şeklinde intravenöz tramadol uygulandı. DII-V5 derivasyonlarında EKG monitörizasyonuna postoperatif 4 saat devam edildi. Kardiyak troponin ölçümleri preoperatif, peroperatif (insizyon sonrası 30. dk.’da) ve postoperatif 4. saatte yapıldı. İstatiksel analizde; Annova, Friedman testi, ki-kare testleri kullanıldı. p

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Cite This Article

ŞENOĞLU, N., SÖKMEN, A., ZENCİRLİ, B., EZBERCİ, M., BOZKURT, K., ÖKSÜZ, H. (2022). The perioperatively effect of spinal and general anaesthesia on mathernal cardiac enzymes in non-cardiac caesarean section. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 35 - Sayı: 4, 235–240. https://ajindex.com/articles/620038

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