scholarly journals Effect of Spinal Anesthesia versus General Anesthesia on Blood Glucose Concentration in Patients Undergoing Elective Cesarean Section Surgery: A Prospective Comparative Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Khaled El-Radaideh ◽  
Ala’’a Alhowary ◽  
Mohammad Alsawalmeh ◽  
Ahmed Abokmael ◽  
Haitham Odat ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Glucose Concentration ◽  
Blood Glucose Concentration ◽  
Elective Cesarean Section ◽  
Elective Cesarean ◽  
Prospective Comparative Study ◽  
The Mean

Background. This prospective study compared the blood glucose concentration with spinal anesthesia or general anesthesia in patients undergoing elective cesarean section surgery. Methods. In total, 58 pregnant women who underwent elective cesarean section surgery were included in this prospective comparative study. Group S (n = 35) included patients who chose spinal anesthesia, and group G (n = 23) included patients who chose general anesthesia. The patients were allocated to the groups upon patients’ preference. For the group G, the blood glucose concentration (BGC) was obtained 5 minutes before induction, T1, and 5 minutes after induction T2. For the group S, the BGC was obtained immediately before the injection of the local anesthetic agent T1 and 5 minutes after the complete block T2. For both groups, BGC was measured 5 minutes before the end of surgery T3 and 30 minutes after the end of surgery T4. For BGC measurements, we used a blood glucose monitoring system with a lancet device to prick the finger. Results. There was no statistically significant difference in the mean blood glucose concentration between the groups S and G in T1 (78.3 ± 18.2 vs. 74.3 ± 14.7, p>0.05) and T2 (79.2 ± 18.3 vs. 84.9 ± 23.7, p>0.05). The mean BGC was statistically significantly higher in group G in comparison to group S in the times 5 minutes before (80.2 ± 18.1 vs. 108.4 ± 16.7, p<0.05) and 30 minutes after the end of surgery (80.9 ± 17.7 vs. 121.1 ± 17.4, p<0.05). Conclusion. There is a much lower increase in blood glucose concentration under spinal anesthesia than under general anesthesia. It is reasonable to suggest that the blood sugar concentration must be intraoperatively monitored in patients undergoing general anesthesia.

scholarly journals COMPARISON OF NEONATAL APGAR SCORES AND PATIENT SATISFACTION LEVELS IN SPINAL VERSUS GENERAL ANESTHESIA IN ELECTIVE CESAREAN SECTIONS

2021 ◽  
Vol 71 (4) ◽  
pp. 1183-87
Author(s):  
Syed Khurram Naseer ◽  
Aijaz Ali ◽  
Shizan Hamid Feroz ◽  
Dr Danish ◽  
Amir Sohail
Keyword(s):  
Patient Satisfaction ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Elective Cesarean Section ◽  
Military Hospital ◽  
P Value ◽  
Apgar Scores ◽  
Significant Difference ◽  
Elective Cesarean

Objective: To compare patients undergoing cesarean section under spinal and general anesthesia in terms of neonatal APGAR scores and patient satisfaction. Study Design: Comparative cross-sectional study. Place and Duration of Study: Departments of Anesthesia and Gynecology and Obstetrics, Combined Military Hospital Peshawar, for six months from Mar to Aug 2019. Methodology: In this study, 120 females with a singleton pregnancy of 36-40 weeks, and requiring a non-emergency elective cesarean section were enrolled through consecutive sampling in the study. The patients were randomly allocated into two equal groups of 60 women each through random table numbers. Group A received spinal anesthesia and group B general anesthesia. APGAR score was assessed at 5 minutes after delivery, and score of ≥7 was taken as satisfactory. Patient's satisfaction level regarding anesthesia was recorded on a visual analogue scale of 0 (extremely unsatisfied) to 10 (completely satisfied), and score of ≥7 was taken as satisfactory. Results: Women receiving general anesthesia were more satisfied as compared to receiving spinal anesthesia (95% vs. 78.3%; p-value 0.007). There was no significant difference in terms of APGAR scores in general anesthesia and spinal anesthesia (83.33% versus 90%; p-value 0.283). Conclusion: After an elective caesarean section, more mothers were satisfied after receiving general anesthesia as compared to spinal anesthesia. However, both types of anaesthesia were found to be equally safe for babies born in terms of APGAR scores at 5 minutes.

scholarly journals Spinal anesthesia for elective cesarean section is associated with shorter hospital stay compared to general anesthesia

2013 ◽  
Vol 25 (2) ◽  
pp. 55-63 ◽  
Author(s):  
Fadil Havas ◽  
Mukadder Orhan-sungur ◽  
Yilmaz Yenigun ◽  
Meltem Karadeniz ◽  
Miray Kilic ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Hospital Stay ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Elective Cesarean Section ◽  
Elective Cesarean

scholarly journals Comparison of Anesthesia Techniques Used in Cesarean Deliveries on the Neonate - Anesthesia Techniques and Neonate?

2019 ◽  
Vol 5 (1) ◽  
pp. 014-021
Author(s):  
Bedih Balkan ◽  
Mehmet can Ozbas ◽  
Furkan Tontu ◽  
Gunes Ozlem Yıldız ◽  
Gulsum Oya Hergunsel ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Spinal Anesthesia ◽  
Statistical Significance ◽  
Elective Cesarean Section ◽  
Cesarean Deliveries ◽  
Elective Cesarean ◽  
Thiopental Sodium

Background: Though there are many studies on the effects of anesthesia methods used for cesarean section on the newborn, research on this topic still continues. In our prospective observational study, we investigated the effects of different anesthesia techniques used in routine cesarean deliveries on early neonatal outcomes in our hospital. Methods: This prospective, observational, randomized study included a total of 222 ASA II risk group pregnant women undergoing elective cesarean section at term (38-41 weeks’ gestation) without fetal distress. The women were randomized into three groups. In the general anesthesia with propofol group (Group P, n = 74), anesthesia was induced with 2 mg∙kg-1 propofol and 0.6-0.9 mg∙kg-1 rocuronium. In the general anesthesia with thiopental sodium group (Group T, n = 74), anesthesia was induced with 5 mg∙kg-1 thiopental sodium and 0.6-0.9 mg∙kg-1 rocuronium. Women in the spinal anesthesia group (Group SA, n = 74) were administered 0.5% (10 mg) hypertonic bupivacaine and 10 mcg fentanyl. Results: There were no significant differences between Group SA, Group P, and Group T in terms of delivery time; neonatal 1- and 5-min Apgar scores; neonatal jaundice rates; neonatal systolic, diastolic, or mean blood pressure or peak heart rate; neonatal intensive care requirement; pH, PCO2, PO2 values in cord blood gas; or neonatal glucose and lactate values. The rate of ephedrine use was significantly higher in Group SA than in Group P and Group T. Maternal satisfaction score was higher in Group SA at postoperative 4 hours and in Group P at 24 hours. The number of newborns taken into intensive care unit in Group T was significantly higher in the 1st hour, 4th hour, 5th hour and total. Respectively p value (0.006, 0,048, 0,048, and 0,005). Pain on injection was present in 55% of patients (n = 81), mild in 36% (n = 54), and severe in 18% (n = 27). Myoclonies occurred in 4% of patients (n = 7) and local rash in 6% of patients (n = 10). Differences between formulations did not reach statistical significance. Conclusion: None of the three anesthesia methods showed superiority after elective cesarean delivery. However, spinal anesthesia and general anesthesia with propofol are more appropriate for pregnant women in terms of effects on the neonate.

scholarly journals Anesthesia practice in cesarean delivery in tertiary care hospital: a retrospective observational study

2018 ◽  
Vol 1 (1) ◽  
pp. 13-15
Author(s):  
Rohini Sigdel ◽  
Maya Lama ◽  
Sanish Gurung ◽  
Sushil Timilsina
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Tertiary Care ◽  
Regional Hospital ◽  
Elective Cesarean Section ◽  
Delivery Mode ◽  
Emergency Cesarean ◽  
Elective Cesarean

Background: Regional anesthesia is being utilized as the preferred anesthetic technique for cesarean delivery worldwide. This study was performed to review cesarean delivery anesthetic practice in our institute which represents a tertiary care regional hospital. Methods: Data was collected regarding the number of cesarean delivery performed during the period of six months from January 2017 to June 2017 at Western Regional Hospital. Number of elective versus emergency cesarean delivery, mode of anesthesia and the reason for general anesthesia and complications was recorded. Results: The number of cesarean delivery was found to be 1174(26.41%) of total deliveries during the study period. Out of which, 64.82% were for emergency indication and 35.18% were elective cesarean delivery. Spinal anesthesia was utilized in 99.03% of elective cesarean section and 97.63% of emergency cesarean section. The percentage of cases performed under general anesthesia was 1.87%. Reasons for general anesthesia included inadequate subarachnoid block, fetal malpresentation, eclampsia and maternal comorbidities. Complications related to general anesthesia like failed intubation, airway difficulty related to general anesthesia and anesthesia related mortality was not encountered. Conclusion: Spinal anesthesia is utilized widely and safely in obstetric practice at our hospital. Use of labour epidural analgesia should be introduced and encouraged in our setting to minimize the side effects of single shot spinal anesthesia and to avoid general anesthesia when indicated.

scholarly journals PERBANDINGAN NILAI APGAR NEONATUS PADA SEKSIO SESAR ANTARA ANESTESIA UMUM DAN ANESTESIA SPINAL

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Frans T. Rumahorbo
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Apgar Score ◽  
Elective Cesarean Section ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Elective Cesarean ◽  
Spinal Anesthesia Group

Abstract: Anesthesia plays an important role in surgery. The use of anesthesia provides a lot of advantages in surgery as well as disadvantages under certain circumstances. In cesarean section, anesthesia can affect the condition of neonates, which can be evaluated by using Apgar score. This study aimed to compare the neonates’Apgar scores of cesarean section using general and spinal anesthesia. The method of this study was Unpair Numeric Comparative Analytic Retrospective. Inclusive criteria were elective cesarean section deliveries, aterm or gestational age 37-40 weeks, birth weight > 2500 grams, and no other surgery. There were 105 samples which were divided into two groups, GA (general anesthesia) and SA (Spinal anesthesia). Group of GA consisted of 70 samples and group of SA 35 samples. Statistical test used was Mann – Whitney test with interpretation value P < 0.05 revealed significant differences. The results showed that neonates of SA group with Apgar score >7 at the first and fifth minute were 57.14% and 100% meanwhile of GA group 28.57% and 87.14%. The average Apgar scores of SA and GA groups at the first minute were 6.43±0.74 vs 5.5±1.53 (P = 0.001) and at the fifth minute 8.43±0.74 vs 7.53±1.51. The Mann – Whitney test showed a P value 0.001. Conclusion Spinal anesthesia provided better condition for neonates compared to the general anesthesia in elective cesarean section deliveries.Keywords: cesarean section, spinal anesthesia, general anesthesia, Apgar scoreAbstrak: Anestesia berperan penting dalam tindakan pembedahan. Penggunaan anestesia memberikan banyak keuntungan dalam tindakan pembedahan namun terdapat juga kerugian – kerugian dalam kondisi tertentu. Pada seksio sesar, tindakan anestesia dapat mempengaruhi kondisi neonatus yang dapat diukur dengan nilai Apgar. Penelitian ini bertujuan untuk membandingkan nilai Apgar neonatus pada seksio sesar antara anestesia umum dan anestesia spinal. Metode penelitian bersifat retrospektif analitik komparatif numerik tak berpasangan. Kriteria inklusi ialah persalinan seksio sesar elektif, aterm atau usia kehamilan 37-40 minggu, berat badan lahir bayi >2500gr, dan pasien tanpa operasi lainnya. Sampel yang didapat berjumlah 105 neonatus yang dibagi menjadi 2 grup, GA (anestesia umum) dan SA (anestesia spinal). Grup GA terdiri dari 70 sampel dan grup SA 35 sampel. Uji statistik yang digunakan ialah uji Mann – Whitney dengan interpretasi nilai P < 0,05 dinyatakan perbedaan signifikan. Hasil penelitian memperlihatkan neonatus dengan nilai Apgar >7 pada menit ke-1 dan ke-5 sebanyak 57,14% dan 100% pada grup SA sedangkan 28,57% dan 87,14% pada grup GA. Rata – rata nilai Apgar menit ke-1 grup SA dan grup GA 6,43±0,74 vs 5,5±1,53 (P = 0,001) dan pada menit ke-5 8,43±0,74 vs 7,53±1,51. Uji Mann – whitney menunjukkan P =0,001. Simpulan. Anestesia spinal memberikan kondisi neonatus yang lebih baik dibandingkan anestesia umum pada persalinan seksio sesar elektif.Kata kunci: seksio sesar, anestesia spinal, anestesia umum, nilai Apgar.

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