Factors affecting selection of anesthesia type in elective cesarean operations and pregnant preferences for anesthesia outcome

Bora, Arslan; Öztürk, Nilgün; Onuk, Zinet Asuman Arslan; Karslı, Bilge

doi:10.5455/medscience.2018.07.8924

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Before the COVID-19 pandemic, we reported that only 35.8% of pregnant women were operated on under neuraxial anesthesia. 22 Compared to our previous report, this shows an increased tendency to use neuraxial techniques in pregnant women with COVID-19. In an earlier study, Chen et al 23 found the rate of hypotension to be 86% in pregnant women infected with COVID-19 who underwent regional anesthesia.…”

Section: Discussioncontrasting

confidence: 62%

See 1 more Smart Citation

Clinical characteristics and hematological parameters associated with disease severity in COVID‐19 positive pregnant women undergoing cesarean section: A single‐center experience

Bora

Bicer

Şahin

et al. 2021

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

Aim: The study aimed to describe clinical characteristics and outcomes of pregnant women with COVID-19 undergoing cesarean section, and evaluated the association of blood values at admission with severe COVID-19 disease in this group of patients. Method: We retrospectively analyzed the clinical data of 110 patients infected with COVID-19 who underwent cesarean section at Adana City Education and Research Hospital in Turkey. The COVID-19 severity of the patients was classified as either severe or nonsevere disease according to World Health Organization of COVID-19 clinical management guidance. We compared blood values, clinical characteristics, and outcomes between severe and nonsevere patients. Receiver operating characteristics (ROC) curves analyses and area under the ROC curve (AUC) value was calculated to evaluate the predictive value of blood parameters on the COVID-19 severity. Results: Of the 110 women, 12 were severe cases. Severe patients had higher ferritin, neutrophil-tolymphocyte ratio (NLR), lactate dehydrogenase (LDH), alanine transaminase (ALT), aspartate transaminase (AST), and procalcitonin levels on admission (p < 0.05). The ROC analysis demonstrated AUC of NLR, LDH, AST, ALT, ferritin, and procalcitonin was 0.757, 0.856, 0.840, 0.771, 0.821, and 0.698, respectively. The LDH had a maximum specificity (90.8%), with the cutoff value of 365. The O-blood group was more likely to have severe illness than the non-O-blood group (relative risk: 3.6; 95% confidence interval; 1.2-10.4). Conclusion:This study shows that LDH values at admission are an early and powerful predictor of severe infection for pregnant women with COVID-19 who will undergo a cesarean section.

show abstract

Section: Discussioncontrasting

confidence: 62%

“…In this study, 89.1% of the patients were operated on under spinal anesthesia. Before the COVID‐19 pandemic, we reported that only 35.8% of pregnant women were operated on under neuraxial anesthesia 22 . Compared to our previous report, this shows an increased tendency to use neuraxial techniques in pregnant women with COVID‐19.…”

Section: Discussioncontrasting

confidence: 52%

Clinical characteristics and hematological parameters associated with disease severity in COVID‐19 positive pregnant women undergoing cesarean section: A single‐center experience

Bora

Bicer

Şahin

et al. 2021

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, choice selection is known to be affected by patient characteristics including socioeconomic status and level of maternal education as well as the knowledge, experience and expertise of anaesthetists and obstetricians. [24] When recalculating the proportion of deliveries using labour epidurals after excluding the number of deliveries performed by CS (and excluding CS performed under epidural anaesthesia), the epidural frequency was 3.29% (n=3 560/108 231) for vaginal deliveries, 13.81% in private hospitals and 1.47% in public hospitals.…”

Section: Public Hospitals N=26mentioning

confidence: 99%

Labour epidurals in Gauteng Province, South Africa

et al. 2021

View full text Add to dashboard Cite

Can propofol procedural sedation implementation increase the acceptance of spinal anesthesia during cesarean section?

Mazy

Madkour

Shaalan

2019

Ain-Shams J Anesthesiol

View full text Add to dashboard Cite

Background Parturients are highly anxious preoperatively. The worries of spinal anesthesia may preclude its acceptance despite being recommended. Procedural sedation is not a routine during regional blocks, but it is sensible that anesthesiologists should provide their blocks comfortably. The proposal is that implementing the propofol procedural sedation (PPS) may increase the acceptance rate of spinal anesthesia for cesarean section. Methods In this prospective observational study, the patients who refused spinal anesthesia primarily were interrogated to implement PPS for painless comfortable spinal anesthesia. Their acceptance rate was the primary outcome. In the sitting position, propofol 0.7 mg/kg and 20 mg increments were used as required. Patients were well supported and monitored. Data were compared by Mann-Whitney, chi-square, Fisher’s exact, and Friedman’s ANOVA tests as appropriate. Results The acceptance rate of spinal anesthesia increased from 17 to 93%. During PPS, the mean values of minimal mean blood pressure were not significantly decreased, while the mean values of the heart rate slightly increased. The minimal values of oxygen saturation showed no significant reduction compared to the basal values. Patients expressed a marked relief of anxiety and high satisfaction. Conclusion The use of propofol procedural sedation was effective in increasing the acceptance rate of spinal anesthesia during CS with safety and high patient’s satisfaction.

show abstract

Factors affecting selection of anesthesia type in elective cesarean operations and pregnant preferences for anesthesia outcome

Cited by 3 publications

References 0 publications

Clinical characteristics and hematological parameters associated with disease severity in COVID‐19 positive pregnant women undergoing cesarean section: A single‐center experience

Clinical characteristics and hematological parameters associated with disease severity in COVID‐19 positive pregnant women undergoing cesarean section: A single‐center experience

Labour epidurals in Gauteng Province, South Africa

Can propofol procedural sedation implementation increase the acceptance of spinal anesthesia during cesarean section?

Contact Info

Product

Resources

About