Anaesthesia preference, neuraxial vs general, and outcome after caesarean section

Abstract

We investigated parturients' preference for neuraxial vs general anaesthesia, while they have experienced both techniques in the past. A total of 102 parturients who underwent elective caesarean section under general or neuraxial anaesthesia at different times completed a questionnaire comparing the two techniques. According to our results, 98% vs 51% (p < 0.001) of the women saw the baby and 51% vs 29% (p = 0.003) ambulated in the neuraxial and general anaesthesia groups, respectively, within the first 24 h postoperatively. Neuraxial anaesthesia was associated with less pain assessed by the Verbal Analogue Scale (VAS) (54 ± 21 vs 72 ± 20 p < 0.001), fewer days of hospital stay (4 ± 0.5 vs 5 ± 1.5, p = 0.001) and higher satisfaction scores (77 ± 18 vs 52 ± 24, p = 0.001) vs general anaesthesia. Finally, 80% of the women would choose neuraxial anaesthesia for a future caesarean section.

Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception

“…In the second surgery, they preformed the opposite type of anesthesia than in the primary surgery, and 48 h after the second operation they interviewed patients for comparison between the anesthesias used. They demonstrated lower pain scores and higher satisfaction scores with regional anesthesia compared to general anesthesia [14].…”

“…They demonstrated that regional anesthesia reduced the need of parenteral morphine requirements after CS compared to general anesthesia [13]. Fassoulaki et al [14] studied 102 patients who underwent an elective CS for the second time. In the second surgery, they preformed the opposite type of anesthesia than in the primary surgery, and 48 h after the second operation they interviewed patients for comparison between the anesthesias used.…”

Evaluation of leg wrapping for the prevention of postspinal hypotension in cesarean section under spinal anesthesia

“…[1] Risk of general anesthesia includes failed endotracheal intubation, failed ventilation, aspiration pneumonitis, postoperative nausea and vomiting, and neonatal depression. [23] Even though spinal anesthesia provides excellent anesthesia, it is commonly associated with adverse effects like hypotension. The hypotension caused depends on the level of block achieved.…”

Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section

“…It is essential to relieve post-cesarean pain effectively because the newborn should be nursed regularly and efficiently. In other words, post-cesarean pain has its own characteristics and this yields investigators to compare analgesic agents and methods used in the postoperative period [11,12]. Nevertheless, in literature, there are few numbers of studies performed on surgical births comparing the effects of general and spinal anesthesia on postoperative pain [7].…”