Anaesthesia Techniques for Caesarean Operations: Retrospective Analysis of Last Decade

Aksoy, Mehmet; Aksoy, Ayşe; Dostbil, Ayşenur; Çelik, Mine; Ahişkalıoğlu, Ali

doi:10.5152/tjar.2014.80774

Cited by 15 publications

(22 citation statements)

References 24 publications

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“…Sari MA et al, observed that in 75.2% cases of caesarean, RA was used and compared with GA, the administration rate of RA was observed to be higher both in elective and emergency cases (82% elective, 65.2% emergency). 20 In Nigeria, Okafor UV et al, found that 47.6% of 729 CS were performed under GA, while 51.3% and 1.1% were performed with spinal SA and EA, respectively. 21 Use of EA in our centre was around 0.87% which is similar to the findings of Okafor UV et al, though the use of GA was comparatively higher in their centre.…”

Section: Discussionmentioning

confidence: 99%

“…Aksoy et al, found that while CSEA technique was not used in any of the caesarean section surgeries performed in 2003 in their clinic but it was used in 27% of surgeries in 2012 whereas in our study CSEA was used in a fairly constant manner all throughout the study period. 20 Use of CSEA need to be increased because it facilitates the administration of an additional dose in the case of prolonged surgery and post-operative analgesia.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of anaesthetic techniques for caesarean

2018

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Background: The anaesthetic technique to be used in Caesarean section is determined according to factors such as urgency, presence of coexisting health problems, preference of patient and preference and experience of the anaesthetist and surgeon.Methods: This is a retrospective study of all the caesarean deliveries that occurred in the period between 1st Jan 2010 to 31st Dec 2017 in the department of obstetrics and Gynaecology in Silchar Medical College. The anaesthesia techniques used for caesarean sections were evaluated in this study. Anaesthesia methods were recorded as general anaesthesia (GA) and regional anaesthesia (RA), and RA was classified into spinal anaesthesia (SA), epidural anaesthesia (EA) and combined spinal epidural anaesthesia (CSEA) subgroups.Results: During the study period a total of 75685 patients delivered and 25805 patients had undergone caesarean section. The caesarean section rate at the institution comes to be around 34.1%. Among the indications, it was observed that foetal distress (32.8%) was the commonest cause followed by post caesarean pregnancy (26.76%). The majority of the CS (75.6%) were done as an emergency procedure. Regional anaesthesia was the most frequently used method both in emergency (92.87%) and elective caesarean section (84.21%). SA was the commonest used RA (89.2%).Conclusions: In recent years, the rate of regional anaesthesia administration in caesarean section is gradually increasing, and the spinal anaesthesia technique is the mostly preferred regional anaesthesia. There is need to explore the use of the other forms of regional anaesthesia also.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of anaesthetic techniques for caesarean

2018

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“…Hastanemiz bünyesinde yapılan sezaryen operasyonlarında, RA seçiminin %83 olduğu ve RA'nin hasta ve doktor açısından öncelikli anestezi uygulaması olarak tercih edildiği görülmüştür. Ülke-mizde sezaryen operasyonlarında kullanılan anestezi tekniğiyle ilgili çalışmalarda bölgesel anestezi uygulamasının gittikçe arttığı tespit edilmiştir 14 . Ancak, acil ve elektif operasyonlarda karşılaştırmalı olarak nasıl bir anestezi yöntemi uygulandığına dair literatürde yeterince çalışma olmadığını gözlemlemekteyiz.…”

Section: Discussionunclassified

Our management of anesthesia in elective and emergency cesarean surgery: A retrospective evaluation of the last ten years

Özmen¹,

Arslan²,

Ekinci³

et al. 2016

MMJ

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GİRİŞAnne ve bebek sağlığı için sezaryen ameliyatlarında tercih edilecek anestezi yöntemi çok önemlidir 1,2 . Bu ameliyatlarda uygulanacak anestezi yönetimi; cerrahinin aciliyeti, hastanın klinik durumu, anestezi uzmanının deneyimi ve hasta tercihine göre seçilme-lidir. Sezaryen operasyonlarında genel anestezi (GA) ve rejyonal (bölgesel) anestezi (RA) [kombine spinalepidural (KSEA), epidural anestezi (EA), spinal anestezi (SA)] yöntemleri uygulanmaktadır.GA'nin hava yolu kontrolü sağlaması, acil durumlarda hızlı indüksiyon, daha az hipotansiyon ve daha iyi ABSTRAcT

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“…Aksoy ve ark. (27) Maternal kanama, obstetrik anesteziyi güçleştiren en ciddi morbidite sebeplerinden biridir. Nedenleri; plasenta previa, plasenta dekolmanı ve uterus rüptürüdür (2).…”

Section: İstatistiksel Analizunclassified

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2017

Turk J Anaesth Reanim

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Objective: This study aimed to evaluate the maternal, foetal and neonatal effects of anaesthetic techniques used in caesarean sections (C/S) retrospectively over 6 years at the Hospital of Medical School of Dokuz Eylül University and to compare the results with the literature from Turkey and developed countries. Methods:After obtaining approval from the ethics committee, anaesthetic and gestational data from all caesarean operations performed over a 6-year period between 2005 and 2010 was retrospectively obtained from hospital archives.Results: During this period, a total of 10,819 labours was conducted and C/S ratio was 55% with 5953 patients. General anaesthesia was performed in 1479 patients (24.8%) and regional anaesthesia was performed in 4474 patients (75.2%) [Spinal anaesthesia for 1203 patients (26.9%), epidural anaesthesia for 830 patients (18.5%) and combined spinal-epidural anaesthesia for 2441 patients (54.6%)]. In 2010, regional anaesthesia ratio increased to 84.6%, whereas in 2005, it was 63.8%. Regional anaesthesia was used significantly more often in both elective and urgent patients (82% elective and 65.2% emergency). Because of failed regional anaesthesia or surgical complications, anaesthesia was changed to general anaesthesia in 215 patients (4.8%). AP-GAR scores in 1 and 5 min were significantly higher with regional anaesthesia when compared with general anaesthesia. Conclusion:Regional anaesthesia rate for C/S patients in the Hospital of Medical School of Dokuz Eylül University is increased and is higher than Turkey's average; but these figures are still lower than those in the developed countries. Sonuç: Dokuz Eylül Üniversitesi Tıp Fakültesi Hastanesi Uygulama ve Araştırma Merkezi'nde sezaryenlerde rejyonal anestezi uygulama sıklığının giderek arttığı ve oranın Türkiye ortalamasının üzerinde ancak gelişmiş ülkelere göre halen düşük olduğu saptanmıştır.

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Anaesthesia Techniques for Caesarean Operations: Retrospective Analysis of Last Decade

Cited by 15 publications

References 24 publications

Evaluation of anaesthetic techniques for caesarean

Evaluation of anaesthetic techniques for caesarean

Our management of anesthesia in elective and emergency cesarean surgery: A retrospective evaluation of the last ten years

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