Cerebral Oxygenation in Neonates Immediately after Cesarean Section and Mode of Maternal Anesthesia

Willfurth, Isabella; Baik‐Schneditz, Nariae; Schwaberger, Bernhard; Mileder, Lukas P.; Schober, Lukas; Urlesberger, Berndt; Pichler, Gerhard

doi:10.1159/000499046

Cited by 7 publications

(7 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further expansion of the sample size of participants under GA is warranted to analyze the reason for this phenomenon. Besides, this result is in contrast with that in the study by Willfurth et al, 13 though this might be due to the difference in the samples. Only term infants after elective section were included in this study.…”

Section: Discussioncontrasting

confidence: 95%

“…[8][9][10][11][12] These neonatologists only studied the range of brain oxygen within 15 minutes after birth, and few of them analyzed the factors that can cause abnormal brain oxygen before birth. 13 In the present study, our team describes cSO 2 changes during the immediate transition until 1 hour after birth after cesarean deliveries. Anesthetic factors, such as oxygen inhalation, or a lack of inhalation, and comorbidities can also affect cSO 2 changes during neonatal transition.…”

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

Cerebral Oxygen Changes in Neonates During Immediate Transition After Birth and Early Life: An Observational Study

Xue¹,

Wu²,

Yao³

et al. 2020

DDDT

View full text Add to dashboard Cite

Purpose The physiologic transition from a fetus to a neonate is composed of a series of complex processes that include changes in cerebral tissue oxygenation saturation (cSO 2 ). Monitoring this process is of great importance. This study aimed to define the cSO 2 reference interval in neonates without medical support, extending the measurements until 1 hour after birth, and to determine the incidence of abnormally low or high regional cerebral oxygenation during the neonatal transition. Patients and Methods A total of 418 neonates delivered by cesarean section were enrolled. Near-infrared spectroscopy was used to monitor cerebral oxygenation. Results We found that cSO 2 of the non-oxygen-inhaled intrathecal anesthesia in neonates without medical support increased from about 49.0% in the second minute. Most of them reached cSO 2 relative stabilization at 55.7–81.0% between 7 and 8 minutes after birth. One hour after birth, newborn cSO 2 was maintained at 78.0–87.0%. The low cSO 2 rate among babies born under intrathecal anesthesia with and without maternal oxygen inhalation during cesarean sections was approximately 4.5% and 9.0%, respectively. Conclusion We reported the trend in cSO 2 from 2 minutes after birth to 1 hour in the neonatal nursing room and determined the incidence of abnormal regional cSO 2 during this neonatal transition period. Anesthesiologists should pay special attention to the risk of cSO 2 abnormalities in newborns when managing pregnant women with comorbidities.

show abstract

Section: Discussioncontrasting

confidence: 95%

Section: Introductionmentioning

confidence: 95%

Cerebral Oxygen Changes in Neonates During Immediate Transition After Birth and Early Life: An Observational Study

Xue¹,

Wu²,

Yao³

et al. 2020

DDDT

View full text Add to dashboard Cite

show abstract

“…&&& indicates that the difference in MAP at T 0 and T 4 within the control group was significant (t � 2.6728, P � 0.0086). reduces the compliance with treatment and easily leads to various postoperative complications [17][18][19][20]. ere are many reasons why patients develop EA from anesthesia, but postoperative pain is the main one.…”

Section: Discussionmentioning

confidence: 99%

Effect of Different Anesthesia Methods on Emergence Agitation and Related Complications in Postoperative Patients with Osteosarcoma

Zhang

Wang

Mao

2021

Journal of Healthcare Engineering

View full text Add to dashboard Cite

Purpose. To explore the effect of different anesthesia methods on emergence agitation (EA) and related complications in postoperative patients with osteosarcoma. Methods. According to the order of admission, 115 patients requiring osteosarcoma surgery treated in our hospital from January 2018 to December 2020 were selected as the research object and randomly divided into the control group (n = 57, accepted the general anesthesia with tracheal intubation) and the experimental group (n = 58, accepted the combined spinal-epidural anesthesia) to compare their anesthesia effect, incidence rates of agitation and complications, and other indexes. Results. In terms of the hemodynamic indexes (MAP, HR, and CVP values), both groups had lower ones at T1 than at T0, but the decline of the experimental group was generally lesser than that of the control group; at T2, no statistical difference was shown within the experimental group’s indexes when comparing with those at T1, but the control group obtained a significant increase; at T3 and T4, both groups had their hemodynamic indexes increased, but such increase within the experimental group showed no statistical difference when comparing with those at T0, while the control group achieved obviously higher values at T4 than at T0 (before the anesthesia); and the between-group difference in the hemodynamic indexes at T1 and T4 was significant. Compared with the control group, the experimental group achieved better VAS scores and anesthesia indexes and lower incidence rates of EA and complications such as the hypoxemia, cardiovascular response, delayed recovery, and headache. In addition, the differences in the incidence rates of hypotension and cognitive dysfunction between the two groups were not statistically significant. Conclusion. When comparing with tracheal intubation general anesthesia, the combined spinal-epidural anesthesia has a better effect in osteosarcoma surgery, with less hemodynamics influence on patients, reduced postoperative pain and stress reaction, and lowered incidence rates of postoperative EA and complications, which is worthy of wide application in clinical treatment.

show abstract

“…Decreased functional residual capacity and increased oxygen demand in patients were been treated by administering oxygenation using a 3 lpm nasal cannula to prevent desaturation. This desaturation can lead to arrhythmias and respiratory failure (14,15) . Adequate rehydration is given to the patient to maintain optimal perfusion and oxygen delivery to the tissues (16) .…”

Section: Fentanyl Is Used As An Adjuvant Tomentioning

confidence: 99%

Perioperative Management of Sectio Caesarea Surgery in Patient With Heart Valve Disorders

Purwoko

Athir

2021

SOJA

View full text Add to dashboard Cite

<div class="WordSection1">Cardiovascular disease in pregnancy is common range from 1% to 3 and contributes to 10-15% of maternal mortality. Valvular heart disease accounts for about 25% of cases of cardiac complications in pregnancy and important cause of maternal mortality, some of which are mitral stenosis and mitral regurgitation. Cesarean delivery remains the preferred choice, as it reduces the hemodynamic changes that can occur in normal delivery and allows for better monitoring and hemodynamic management. Our paper provide in-depth information regarding the pathophysiology of heart valve disease in pregnant women and an appropriate perianesthesia approach to obtain a good prognosis. We report a case of a 26-year-old pregnant woman, with obstetric status G1P0A0, 36 weeks’ gestation, body weight 61 kg accompanied by severe mitral regurgitation and moderate mitral stenosis. This patient was planned to undergo elective cesarean section. The patient's condition in the perioperative examination was: GCS E4V5M6, other vital signs within normal limits, SpO2 98-99% in supine position. Other physical and laboratory examinations were also within normal limits. The goal of anesthesia during surgery in patients with heart valve disease undergoing cesarean section maintain pulmonary capillary pressure to prevent acute pulmonary edema. In this case, regional anesthesia of epidural anesthesia was chosen because it can reduce systemic vascular resistance and provide better post-cesarean section pain. The patient's hemodynamics perianesthesia tended to be stable without any complications such as pulmonary edema. </div>

show abstract

Cerebral Oxygenation in Neonates Immediately after Cesarean Section and Mode of Maternal Anesthesia

Cited by 7 publications

References 19 publications

<p>Cerebral Oxygen Changes in Neonates During Immediate Transition After Birth and Early Life: An Observational Study</p>

<p>Cerebral Oxygen Changes in Neonates During Immediate Transition After Birth and Early Life: An Observational Study</p>

Effect of Different Anesthesia Methods on Emergence Agitation and Related Complications in Postoperative Patients with Osteosarcoma

Perioperative Management of Sectio Caesarea Surgery in Patient With Heart Valve Disorders

Contact Info

Product

Resources

About