Elektif Sezaryen Girişimlerinde Genel Ve Spinal Anestezinin Anne Ve Yenidoğan Üzerine Etkilerinin Değerlendirilmesi

Canan Balcı,Dilek Toprak,R. Gül Sıvacı,Simay Serin

  •  Yıl : 2005
  •  Cilt : 21
  •  Sayı : 4
  •  Sayfa : 98-103
Özeti

 

Our study was performed to compare the effects of general and spinal anesthesia on the hemodynamic values of the mother, APGAR and umbilical vein blood gases of the newborns. 128 term, pregnant volunteer womwn who were planned for cesarean section and in group ASA I-II were included in the study. The subjects randomly devided into two groups. In group I (n=60), induction was performed with iv. propofol per 2 mg kg-1 and the maintenance dose was provided with the mixture of 1% sevofluran, 50% air and 50% O2 . In group II (n=68), spinal anestesia was performed in left lateral position, by injecting 7.5 mg (1.5 ml) hyperbaric bupivacain intrathecally, through L3-L4 intervertebral space, with 24 gauce spinal needle. Spinal anesthesia elevated to T6-7 level. Both groups preloaded with 10 mL/kg-1h-1 % 0.9 NaCL solution. Systolic and diastolic blood pressures, meanterial pressures, pulse rates and peripheric oxygen saturations reported in all subjects of group I, before the induction and in 1., 2., 3., 4., 5., 10., 15. and 30. Minutes after endotracheal entubation. In spinal anesthesia group it is reported in 1., 2., 3., 4., 5., 10., 15. and 30. Minutes after the anesthesia. When we compared the pulse rates and mean arterial pressures of both groups, these values were low in spinal anesthesia group which were found to be statistically significant (p<0.05). The arterial blood gases (pCO2, pO2), pH of the mother and APGAR (1., 5., 10. minutes) scores of the newborns were better in spinal anesthesia group, and statistically significant (p<0.005). As a result, regarding the undesired effects of the spinal anesthesia on mother’s hemodynamic parameters like hypotension and bradycardia; in cesarean secion cases it must be used carefully. We can advice its safely use regarding to the results of the arterial blood gases and APGAR scores of the newborns after taking preventive measures especially against deep hypotension
  • Çıkar İlişkisi
Yazışma Adresi : Canan Balcı, Afyon Kocatepe Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon ABD
Eposta : [email protected]
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Açıklama : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler. None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Elektif Sezaryen Girişimlerinde Genel Ve Spinal Anestezinin Anne Ve Yenidoğan Üzerine Etkilerinin Değerlendirilmesi, Araştırma makalesi,
, Vol.21(4)
Geliş Tarihi : 10.03.2005, Kabul Tarihi : 27.09.2005
Selçuk Tıp Dergisi
ISSN:1017-6616 ;
E-ISSN:2149-8059 ;
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