Anesthesia Management in Cesarian Section in Pregnant Patients with COVID-19 Diagnoses

Ay, Necmiye; Akyol, Duygu; Karadeniz, Gizem Nur Koyan; ÇELİK, Mine; Özcan, Funda Gümüş

doi:10.4274/haseki.galenos.2022.8721

Cited by 1 publication

(2 citation statements)

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“…The literature offers limited findings on the clinical courses of patients undergoing cesarean section during the pandemic, anesthesia techniques applied, postoperative complications, and their ASA scores and lengths of hospital stay. Moreover, the previous research usually associated changes in such cases only with the anesthesia technique adopted (16)(17)(18)(19)(20). In their study, Korkusuz et al investigated the mid-pandemic anesthesia preferences of 140 pregnant women with a cesarean delivery at least once under general anesthesia before the pandemic (18).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the literature hosts a paucity of research on changes in anesthesia techniques in delivery operations compared to the pre-pandemic periods (15)(16)(17)(18). The present study, primarily in patients who gave birth by cesarean section before and during the COVID-19 (Coronavirus disease 19) pandemic; it was aimed to evaluate the anesthesia method, postoperative complications, length of hospital stay, clinical urgency of the patients and ASA (American Society of Anesthesiologists)…”

Section: Introductionmentioning

confidence: 99%

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Investigating the effects of the COVID-19 pandemic on obstetric anesthesia and perioperative outcomes in cesarean section surgery

Kutlucan

ALTAŞ

ŞENOĞLU

2023

Anatolian Current Medical Journal

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Aim: In the literature, studies comparing the preferred anesthesia methods and related parameters in obstetric anesthesia during the pandemic period with the pre-pandemic period are limited. I n this study, primarily in patients who gave birth by cesarean section before and during the COVID-19 (Coronavirus disease 19) pandemic; It was aimed to evaluate the anesthesia method, postoperative complications, length of hospital stay, clinical urgency of the patients and ASA (American Society of Anesthesiologists) scores. In addition, in patients who underwent cesarean section with positive and negative PCR (Polymerase Chain Reaction) tests during the COVID-19 pandemic; It was aimed to evaluate the anesthesia method, postoperative complications, hospital stay, clinical urgency of the cases and ASA scores. Material and Method: In this retrospective, single-center study, we noted down and compared types of cesarean section (elective or emergency), anesthesia techniques (spinal, spinal+epidural, or general anesthesia), and patients’ ages, ASA scores, PCR test results, postoperative complications (e.g., pneumonia, excessive postpartum bleeding), and lengths of hospital stay. Results: We carried out this study with the data of 2,406 women, 1,458 of whom gave birth before the pandemic. The findings revealed that the rate of developing complications, the length of hospital stay, the number of patients with an ASA score of 3 and above, and the use of spinal anesthesia significantly increased during the pandemic. Moreover, 182 women were COVID-19-positive among a total of 948 applicants during the pandemic. Although the ASA scores and complication rates were significantly higher among those with a positive PCR test result, the length of hospital stay was similar between the patients by their PCR test results. Conclusion: Our findings revealed a significant decrease in spinal + epidural anesthesia, which was frequently adopted before, in cases with cesarean section during the pandemic. Spinal anesthesia was mostly used alone. Despite increased complication rates in PCR-positive patients with higher ASA scores undergoing cesarean section, we concluded no significant change in the length of hospital stay. In cases of increased risk of infection and transmission (e.g., pandemic), neuraxial blocks may be preferred as an anesthesia technique to minimize the risk of infection in emergency obstetric operations. It should also be noted that the risk of developing postoperative complications always be high during pandemics.

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