Regional versus general anesthesia for cesarean section delivery☆

Páez, John; Navarro, Juan Gabriel Cegarra

doi:10.1097/01819236-201240030-00008

Cited by 10 publications

(13 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…15 There was no statistically significant difference in the mean scores of postoperative nausea between the groups which was in accordance with reports from other studies. 13,20,28 There was a statistically significant difference in mean pain scores at 2 hrs and 6 hrs, but no significant difference at 24 hrs. Tramadol (50 mg IM) was the primary option and pentazocine (30 mg IV) was used as reserve drug in the event of inadequate pain relief.…”

Section: -6 >7mentioning

confidence: 85%

“…Other studies have also reported a higher incidence of respiratory distress in the neonates following CS under GA increasing the need for resuscitation and endotracheal intubation compared to the procedure under RA. 11,13,28,29 Majority of the subjects from both the groups had normal APGAR scores (>7). However, there was a significant difference in the mean score between the groups.…”

Section: -6 >7mentioning

confidence: 97%

“…These findings were consistent with previous studies. 6,12,14,15,28 This may be because of the uterine relaxant effect of halogenated inhalational anesthetics, as the CS is usually performed under GA in subjects with placental abnormalities. 12,14 Blood transfusion involving the whole blood, frozen plasma, platelet and RBC concentrates was required in 11 subjects under GA, and only in one subject under RA, which was statistically highly significant (p=0.001).…”

Section: -6 >7mentioning

confidence: 99%

“…Other studies have also observed higher incidence of postoperative pain following GA as compared to RA. 6,12,13,20,28 The high incidence of postoperative pain following GA may be due to lack of residual analgesia because of the short half-life of the various medications used, and sustained spinal analgesia provided by intrathecal bupivacaine. Majority of the subjects (80%) expressed their overall satisfaction and there was no statistically significant difference between the groups.…”

Section: -6 >7mentioning

confidence: 99%

See 3 more Smart Citations

Prospective, non-randomized, parallel group, comparative observational study to compare maternal and neonatal outcome after regional and general anesthesia for Lower Segment Caesarean Section

Pundarikaksha

Tamboli

Babu³

et al. 2019

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

Background: LSCS is a routine obstetric procedure performed under general anesthesia (GA) or regional anesthesia (RA). Choice of anesthesia depends on factors like gestational age, parity, co-morbidities, urgency of situation, etc. Both GA and RA involve the use of various medications which may influence maternal and neonatal outcome. As there are few studies comparing maternal and fetal outcome in RA and GA for LSCS in Indian population, the present study was taken up. Objectives of the study was to compare the maternal and neonatal outcome after RA and GA for LSCS.Methods: 60 subjects with indications for LSCS were assigned non-randomly into two groups, 30 for GA and 30 for RA, at the discretion of anesthesiologist. The demographic, anthropometric and clinical data was recorded for all subjects. The maternal outcome after RA and GA for LSCS was assessed by parameters like maternal blood loss, postoperative pain, postoperative nausea and vomiting, maternal satisfaction and neonatal outcome by parameters like birth weight, APGAR scores and NICU admissions. The maternal and neonatal outcome between the two groups was compared.Results: All subjects had clear indications for CS. In most of the subjects it was undertaken as an emergency procedure. GA was preferred in high risk subjects. Maternal blood loss, postoperative pain, NICU admissions, need for resuscitation was less under RA compared to GA. There was no difference in PONV, maternal satisfaction, birth weight and need for intubation.Conclusions: LSCS under RA showed a more favourable maternal and neonatal outcome.

show abstract

Section: -6 >7mentioning

confidence: 85%

Section: -6 >7mentioning

confidence: 97%

Section: -6 >7mentioning

confidence: 99%

Section: -6 >7mentioning

confidence: 99%

See 2 more Smart Citations

Prospective, non-randomized, parallel group, comparative observational study to compare maternal and neonatal outcome after regional and general anesthesia for Lower Segment Caesarean Section

Pundarikaksha

Tamboli

Babu³

et al. 2019

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…12 Hasil penelitian tindakan SC dengan anestesi regional dapat menekan angka kematian ibu (AKI). 13 Anestesi regional terdiri dari anestei spinal, anestesi epidural, dan combined spinal epidural (CSE). Teknik anestesi spinal lebih banyak dipilih karena onsetnya yang cepat dan tingkat kegagalannya rendah, namun anestesi spinal juga dapat mengakibatkan penurunan tekanan darah dan dapat menimbulkan efek samping yang berbahaya bagi ibu dan janin.…”

Section: Pendahuluanunclassified

Gambaran Kecemasan Pasien Preoperatif Sectio Caesarea dengan anestesi spinal di RSIA Siti Hawa Padang

Imani

Syahrul

Kurnia

2020

JIKESI

View full text Add to dashboard Cite

Anxiety is a response to a threat that comes nowhere, internally, indistinctly or conflictually. One common cause of the anxiety in the world is a patient that will experience an operation. The incidence is about 11-80% in the world. There are some risk factors that impact the anxiety of pre-operative patient like ages, education levels, operation histories, information resources, and etc. This study aimed to give the incidence of the anxiety of cesarean section pre-operative patients with spinal anaesthesia at Siti Hawa’s Mother and Child Hospital Padang. Specifically, cesarean section is chosen to be observed because this surgery is the most common operation in the world and spinal anesthesia is the main choice because of its rapid onset and low failure. This study was an observational-descriptive with cross-sectional design done from July until August 2018. Data were collected by direct interview with eighty-three respondents using The Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. This result of this study based on APAIS questionnaire were (51,8%) patients does not feel anxiety and the most need for information was low (48,2%). The highest frequency of preoperative anxiety were patients twenty to thirty-five years old (54%), based on education levels (62,9%) patients graduated from college, based on operation histories (63%) patients that hadn’t experience the operation yet, and based on the information resources (53,3%) patients who had known the operation procedure.

show abstract

Assessment of satisfaction and associated factors of parturients underwent cesarean section with spinal anesthesia at the General Hospital, Ethiopia; 2019

Chekol

Getu

Tesfaw

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Background and aim Spinal anesthesia for cesarean section is now a day a popular plan of anesthesia because of its rapid onset and high frequency of successful blockade. It is a vital monitor to the quality of care in anesthesia. The main aim of this study was to assess the level of maternal satisfaction and associated factors after cesarean section under spinal. Methods Hospital-based cross-sectional study was conducted on mothers who underwent cesarean section with spinal anesthesia. Descriptive analysis and chi-square test were employed. Bivariable and multivariable logistic regression was used to measure the association of factors with the level of satisfaction. A p-value of ≤0.25 and ≤ 0.05 was used to decide statistical significance for bivariable and multivariable logistic regression respectively. Findings The overall satisfaction level of parturients after spinal anesthesia was 97(80.2%). The satisfaction level was 83.3% with PONV treatment, 98.3% with intraoperative analgesia, between 52.5% and 64.2% to preoperative activities, and 72.5% for postoperative patient care by the anesthetist. Having previous anesthesia was the independent factor that has a significant association with the level of satisfaction with AOR, 3.94; 95%CI, 1.24–12.45; P- 0.01. Conclusion In general, the overall satisfaction of the mothers towards spinal anesthesia was fair with a satisfaction score of 80.2%. Parturients were highly dissatisfied with the preoperative visit and information subscale as compared to the other subscales.

show abstract

Regional versus general anesthesia for cesarean section delivery☆

Cited by 10 publications

References 13 publications

Prospective, non-randomized, parallel group, comparative observational study to compare maternal and neonatal outcome after regional and general anesthesia for Lower Segment Caesarean Section

Prospective, non-randomized, parallel group, comparative observational study to compare maternal and neonatal outcome after regional and general anesthesia for Lower Segment Caesarean Section

Gambaran Kecemasan Pasien Preoperatif Sectio Caesarea dengan anestesi spinal di RSIA Siti Hawa Padang

Assessment of satisfaction and associated factors of parturients underwent cesarean section with spinal anesthesia at the General Hospital, Ethiopia; 2019

Contact Info

Product

Resources

About