Anaesthetic Method Preference of Obstetricians for Caesarean Section

Dağlı, Recai; Dağlı, Selda Songur

doi:10.5152/tjar.2014.03521

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…In other words, it can be said that RA is not chosen because of its advantages but rather as an alternative to general anaesthesia in cases where the risk of general anaesthesia is high. Dağlı et al investigated the preferences of obstetricians regarding regional anaesthesia during Caesarean section operations 12. In contrast to our findings, they reported that 80% of obstetricians preferred regional anaesthesia for these operations.…”

Section: Discussioncontrasting

confidence: 98%

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

İnal¹,

Yılmaz²,

Daşkaya³

et al. 2019

LRA

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BackgroundThe intraoperative attending anaesthesiologist ultimately makes decisions about the anaesthesiology technique to be performed, but the attitudes of surgeons and preferences of patients on this subject may affect their choice. In this questionnaire-based study, we aimed to evaluate the attitudes and behaviors of surgeons about the use of regional anaesthesia (RA) in surgical operations.MethodsSurgeons from different surgical branches with residencies at 4 different hospitals were asked to complete questionnaires that included reasons for preferring (12 reasons) and not preferring (13 reasons) the use of RA techniques for surgeries, using a 5-point Likert scale.ResultsA total of 156 surgeons from 4 hospitals, out of 167 surgeons who were approached to participate in the study, completed the questionnaire. The most commonly observed reason for a preference towards regional anaesthesia among the surgeons was the risk of general anaesthesia for patients with an American Society of Anesthesiologists (ASA) risk class of III and above. The second most commonly observed reason was for protection from the complications of general anaesthesia, and the third most commonly observed reason was the lower risk of thromboembolisms with regional anaesthesia. The most commonly observed reasons for not choosing regional anaesthesia were found to be incompatibility of the patients and patients’ fears of feeling pain during surgery.ConclusionWe conclude that programmes for informing surgeons and educating patients about the advantages of RA may increase the preference ratio among surgeons and decrease patients’ refusals to choose this procedure.

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Section: Discussioncontrasting

confidence: 98%

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

İnal¹,

Yılmaz²,

Daşkaya³

et al. 2019

LRA

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“…Advantages of SA over GA are that its effect begins quicker; the hospitalization length, nausea/vomiting at the end of the operation, mortality, morbidity and need for postoperative analgesic are lower; patient satisfaction is greater, and it provides more localized and intense blockage than epidural anesthesia [ 17 , 18 ]. In some patients and operations, SA may be a more appropriate option; for example, SA is usually preferred for pregnant women because the transfer of the administered medication to the fetus is minimized.…”

Section: Discussionmentioning

confidence: 99%

Is spinal anesthesia an alternative and feasible method for proximal ureteral stone treatment?

Topaktaş

Altin

Aydın

et al. 2020

Cent european J Urol

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Introduction We investigated the clinical, operational, and pain parameters of patients who underwent semirigid ureterorenoscopy (sURS) under spinal anesthesia (SA) and general anesthesia (GA) for proximal ureter stones. Material and methods Patients treated with sURS after diagnosis of proximal ureter stones between January 2014 and May 2017 were reviewed retrospectively. The patients were divided into two groups (the SA group and the GA group) based on the type of anesthesia used. Perioperative variables and operation results were evaluated and compared. Success was defined as the patient being stone-free as observed on low-dose non-contrast computed tomography performed in the first month postoperatively. Results The SA and GA groups had 40 and 32 patients, respectively. There were no statistically significant differences between the groups in terms of age (p = 0.593), gender (p = 0.910), average stone size (p = 0.056), side (p = 0.958), or density (p = 0.337). Based on the Clavien classification system, complication rates between the two groups were similar. The postoperative visual pain scale in the SA group was statistically significantly lower (p <0.05) than in the GA group. Success rates in the SA and GA groups were found to be 90% (36/40) and 93.7% (30/32), respectively, with no significant difference between the groups (p = 0.819). Conclusions Ureterorenoscopy, which is performed for proximal ureter stone treatment in adult patients, is a reliable surgical method that can be performed under both SA and GA. SA offers the advantage of reduced postoperative pain as compared to GA.

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“…Regional anesthesia is the preferred modality for Cesarean deliveries as it avoids the maternal risks of general anesthesia, such as aspiration of gastric contents and difficulty with airway management. Furthermore, it allows administration of fewer drugs, resulting in a better adverse effect profile and a lower risk of anaphylaxis; ensures an awake mother and an attentive neonate, thereby facilitating early breastfeeding and maternal bonding; allows early mobilization and imparts better postoperative analgesia 2,3 . Spinal anesthesia is the most frequently used regional anesthesia technique for Cesarean deliveries because of its relative ease of administration and better safety profile.…”

Section: Introductionmentioning

confidence: 99%

A prospective, randomized, double-blind, comparative study of phenylephrine and ephedrine in treating hypotension during cesarean section under spinal anesthesia: Vasoconstrictors for Hypotension During CS

Singh¹,

Bharti²,

Gill³

et al. 2021

Serb J Anest Inten Therapy

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Introduction: Hypotension may affect 70-75% of patients undergoing cesarean section (CS) under spinal anesthesia (SA) and may have detrimental effects on both the mother and the fetus. Our study attempts to compare the effectiveness of phenylephrine and ephedrine in treating SA-induced hypotension in CS and their impact on the fetus. Methods: Forty adult pregnant female patients undergoing elective CS under SA were randomly divided into two groups to receive phenylephrine 100 µg IV bolus and ephedrine 6 mg IV bolus when the systolic blood pressure (SBP) dropped below 20% of the baseline. After delivery of the fetus, the umbilical artery blood sample was taken for blood gas analysis. Apgar score was recorded at 1 and 5 minutes post-delivery. Results: Significant differences were observed in heart rate (HR), SBP, and diastolic blood pressure (DBP), with HR being lower and SBP and DBP being higher in the Phenylephrine group. No significant difference was seen in the Apgar scoring, but uterine artery pH was significantly higher in the Phenylephrine group. Conclusion: Phenylephrine and ephedrine are equally effective in treating SA-induced hypotension in patients undergoing CS. Neonates of patients receiving phenylephrine had significantly higher pH than those receiving ephedrine, although the eventual neonatal outcome, as assessed by Apgar scoring, remained equally good with both drugs.

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Anaesthetic Method Preference of Obstetricians for Caesarean Section

Cited by 6 publications

References 5 publications

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

Is spinal anesthesia an alternative and feasible method for proximal ureteral stone treatment?

A prospective, randomized, double-blind, comparative study of phenylephrine and ephedrine in treating hypotension during cesarean section under spinal anesthesia: Vasoconstrictors for Hypotension During CS

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