scholarly journals Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Suman Chattopadhyay ◽  
Ashok Das ◽  
Subrata Pahari
Keyword(s):  
Critical Care ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Neonatal Mortality ◽  
Length Of Hospital Stay ◽  
Pressure Control ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Care Support

This prospective observational study compared the effects of general and spinal anesthesia in 173 severe preeclamptic women undergoing emergency cesarean section. 146 (84.5%) patients underwent spinal anesthesia (SA) and 27 (15.5%) patients had general anesthesia (GA). Most of the patients were primigravid and nulliparous. Intraoperatively SA group required more intravenous fluid and vasopressor support, while GA group required more preoperative labetalol injection for blood pressure control. Overall 13.3% of patients required critical care, particularly GA group (44.4% versus 7.5%;P<0.001). Patients receiving GA had a higher mortality (25.9% versus 1.4%;P<0.001). The length of hospital stay was comparable. Significantly more neonates of patients receiving GA were found to be preterm (77.8% versus 44.5%;P<0.01) and required advanced resuscitation. GA group also had higher neonatal mortality (29.6% versus 11%;P<0.05). To conclude, severe preeclamptic mothers receiving general anesthesia and their babies required more critical care support. Maternal as well as neonatal mortality was significantly higher with general anesthesia.

General Anesthesia for Emergency Cesarean Section in a Patient with Severe Aortic Stenosis

1999 ◽  
Vol 37 (5) ◽  
pp. 951
Author(s):  
Jeong Ok Jo ◽  
Mi Jung Ahn ◽  
Ye Young Yang ◽  
Soo Chang Son ◽  
Yun Ee Rhee
Keyword(s):  
Aortic Stenosis ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Severe Aortic Stenosis ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

scholarly journals Effectiveness of low-dose intravenous ketamine to attenuate stress response in patients undergoing emergency cesarean section with spinal anesthesia

2016 ◽  
Vol Volume 9 ◽  
pp. 689-692 ◽  
Author(s):  
AA Gde Putra Semara Jaya ◽  
I Made Gede Widnyana ◽  
Made Wiryana ◽  
I Gusti Ngurah Mahaalit Aribawa ◽  
I Wayan Aryabiantara ◽  
...  
Keyword(s):  
Stress Response ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Intravenous Ketamine

scholarly journals Bupivacaine-Fentanyl vs Ropivacaine-Fentanyl: Evaluation of two Spinal Anesthesia Protocols for Emergency Cesarean Section

2020 ◽  
Vol 10 (6-s) ◽  
pp. 3-7
Author(s):  
Moustapha Diedhiou ◽  
E.B. Ba ◽  
D Barboza ◽  
A. Diouf ◽  
M. Dieng ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Apgar Score ◽  
Randomized Study ◽  
Bivariate Analysis ◽  
P Value ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
The Mean

Objective: Evaluation of the hemodynamic, respiratory and fetal side effects of two protocols for spinal anesthesia (P1: bupivacaine-fentanyl; P2: ropivacaine-fentanyl). Material and Method: Prospective pseudo-randomized study comparing two spinal anesthesia protocols for emergency cesarean section conducted in the operating room of the regional hospital center of Saint Louis in Senegal. Study duration was 4 months. We studied, age, indication for Caesarean section, medical and surgical history, P1 and P2 protocols, hypotension, bradycardia, Apgar scores at birth and at 5min. Univariate and bivariate analysis was performed on the R software. Result: A total of 115 patients were collected, with a mean age of 27.1 years (E: 15 - 45) and a standard deviation of 7.6. Indications for Caesarean section were maternal and fetal dystocia for 67 patients (58%), fetal distress for 39 parturients (34%), and pre-eclampsia for 5 patients (4%). The P1-Bupi spinal protocol was used in 42 patients (36.5%) and the P2-Ropi spinal protocol was used in 73 patients (63.5%). Anesthetic complications such as low blood pressure, bradycardia and desaturation were found in a total of 30 patients, i.e. in 26% of cases. The mean Apgar score at birth for newborns from the P1-Bupi protocol was 8 (Extremes: 7, 9); the mean Apgar score at birth for newborns from the P2-Ropi protocol was 7.5 (Extremes: 2, 10). There was a significantly negative correlation between the P1-bupi protocol and the appearance of hypotension with p-value: 0.04 and a significantly positive correlation between the P2-ropi protocol and the appearance of hypotension with p-value: 0.04. Discussion/ Conclusion: Ropivacaine certainly has a better cardiovascular and neurological tolerance and a better efficacy in terms of analgesia. However, during caesarean sections, it is important to consider the risk of hypotension and possible fetal complications related to its use. Keywords: Ropivacaine - Bupivacaine - Spinal anesthesia - Caesarean section

scholarly journals Comparison of Bolus Phenylephrine, Ephedrine and Mephentermine for Maintenance of Arterial Pressure during Spinal Anesth

2010 ◽  
Vol 49 (177) ◽  
Author(s):  
B Bhattarai ◽  
S Y Bhat ◽  
M Upadya
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cesarean Section ◽  
Arterial Pressure ◽  
Spinal Anesthesia ◽  
Intravenous Administration ◽  
Apgar Score ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Baseline Values

INTRODUCTION: Hypotension is common following spinal anesthesia. Various vasopressors have been indicated to prevent it. The study compares three such agents namely phenylephrine, ephedrine and mephentermine. METHODS: The study included 90 patients undergoing elective and emergency cesarean section who developed hypotension following subarachnoid blockade. Parturient were randomly divided into three groups each group had 30 patients. Group P received bolus of Phenylephrine 25 microgram, where as group E received Ephedrine 5mg and Group M received Mephentermine 6mg. RESULTS: It was found that rise of blood pressure was significantly higher in case of phenylephrine group in first six minutes, after the bolus, there was significant reduction in the heart rate in phenylephrine group, but there was tachycardia following administration of bolus ephedrine and mephenteramine. Neonatal APGAR score were similar in all three groups. CONCLUSIONS: All three drugs maintained hemodynamics within 20 percent of the baseline values on intravenous administration. Keywords: APGAR, ephedrine, hypotension, mephentermine, phenylephrine, spinal anesthesia.

Sign in / Sign up

Export Citation Format

Share Document