Survey on the Adequacy of Depth of Anaesthesia With Bispectral Index and Isolated Forearm Technique in Elective Caesarean Section Under General Anaesthesia With Sevoflurane

2015 ◽  
Vol 59 (2) ◽  
pp. 79-80
Author(s):  
F. Zandd ◽  
S. M. R. Hadavi ◽  
A. Chohedri ◽  
P. Sebatian
Keyword(s):  
Caesarean Section ◽  
General Anaesthesia ◽  
Bispectral Index ◽  
Elective Caesarean Section ◽  
Depth Of Anaesthesia ◽  
Forearm Technique

scholarly journals Effects of remifentanil and dexmedetomidine on the mother’s awareness and neonatal Apgar scores in caesarean section under general anaesthesia

2018 ◽  
Vol 46 (5) ◽  
pp. 1846-1854 ◽  
Author(s):  
Kenan Kart ◽  
Ayse Hanci
Keyword(s):  
Caesarean Section ◽  
General Anaesthesia ◽  
Bispectral Index ◽  
Elective Caesarean Section ◽  
Control Group ◽  
Depth Of Anaesthesia ◽  
Apgar Scores ◽  
Routine Monitoring ◽  
Number Of Patients ◽  
Group 2

Objective This study aimed to compare the effects of remifentanil and dexmedetomidine on awareness during the induction of general anaesthesia. Material and Methods Ninety patients scheduled for elective caesarean section under general anaesthesia were included and randomly divided into three anaesthesia groups: 2 mg/kg propofol (control group); 2 mg/kg propofol and 1 µg/kg dexmedetomidine (dexmedetomidine group); and 2 mg/kg propofol and 1 µg/kg remifentanil (remifentanil group). All patients received routine monitoring, and Apgar scores at 1 and 5 minutes were recorded. The bispectral index and the isolated forearm technique were used to determine the depth of anaesthesia. Results Bispectral index values at skin and uterine incisions and at delivery were similar among the groups. The number of patients who responded positively to the isolated arm technique during the induction period was also similar. One-minute Apgar scores in the control group were significantly lower and 5-minute Apgar scores significantly higher than those in the other groups. Conclusion The effects of remifentanil and dexmedetomidine added to propofol on maternal awareness, neonatal Apgar scores, and bispectral index values were similar compared with propofol alone. However, it was observed that remifentanil controlled the haemodynamic responses to sympathetic stimuli in a better manner than dexmedetomidine.

scholarly journals The Contrasting Effects of Enflurane on Transplacental Exchange after Methohexitone and Ketamine Induction of Anaesthesia for Caesarean Section

1978 ◽  
Vol 6 (3) ◽  
pp. 239-242 ◽  
Author(s):  
J. W. Downing ◽  
P. J. C. Houlton ◽  
J. G. Brock-Utne ◽  
R. J. R. Buley
Keyword(s):  
Caesarean Section ◽  
Beneficial Effect ◽  
General Anaesthesia ◽  
Elective Caesarean Section ◽  
Volatile Agent ◽  
Inhalational Agent ◽  
Induction Of Anaesthesia ◽  
Uterine Relaxation

Supplementation of general anaesthesia with enflurane 0.6% before delivery of the foetus by elective Caesarean section, produced contrasting effects after methohexitone and ketamine administration. Enflurane, an inhalational agent causing vasodilation and uterine relaxation, enhanced maternal to foetal transplacental exchange following methohexitone induction of narcosis. This beneficial effect of the volatile agent was not seen after ketamine, a vasoconstrictor drug which stimulates myometrial contraction.

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