Is regional anaesthesia better than general anaesthesia for caesarean section?

Abstract

The Royal College of Anaesthetists have set the standard that 85% of emergency caesarean sections should be carried out under regional anaesthesia. Reducing the frequency of caesarean sections carried out under general anaesthesia may serve to reduce maternal morbidity and mortality, which has been shown over recent years. A retrospective audit was carried out at a tertiary referral centre investigating the mode of anaesthesia and fetal outcome after emergency caesarean section. The proportion carried out under regional anaesthesia was less than recommended. Despite a longer time taken to induce anaesthesia there was no increase in adverse fetal outcome, supporting the use of regional anaesthesia wherever possible to keep maternal complications to a minimum.

The effect of anesthetic technique on operating room time in elective cesarean section: spinal or general?

“…Daha önce acil (indüksiyonun en kısa zamanda tamamlanması için anestezistin üstünde ek baskının bulunduğu) sezaryen olgularında gerçekleştirilen retrospektif çalışmalarda bile cerrahiye hazır olma süresinin rejyonal anestezi uygulananlarda genel anesteziye kıyasla uzun olduğu gösterilmiştir. (20)(21)(22) Kliniğimizde sezaryen anestezisi için rejyonal yöntemlerden epidural, spinal veya kombine spinal epidural teknikler kullanılmaktadır. Bu çalışma tasarlanırken, tek doz uygulanan spinal anestezinin özellik-le seçilmesinin nedeni bu yöntemler arasında en kısa sürede tamamlanabilmesinden kaynaklanmasıdır.…”

The effect of spinal anaesthesia on urethral function

“…Despite the poor association between urethral function and the degree of leak pre-and post-spinal anaesthesia, this anaesthetic technique still has beneficial safety factors that may still make it preferential to a general anaesthetic. Spinal anaesthesia is associated with less nausea and is considered safer than general anaesthesia for women having caesarean deliveries [22].…”

Influence of anesthesia technique at cesarean section on newborn state assessment and on uterus contraction

“…У групі загаль-ної анестезії показники оксигенації пуповинної крові були достовірно вище, ніж у групі спінальної анесте-зії. Ранній неонатальний період у всіх новонародже-них протікав без ускладнень [3].…”

“…Еволюція засобів для анестезії дозволяє поглиблювати знання та переглядати сучасні підходи для застосування різних методів анестезії при операції кесарів розтин [3,6]. Дані положення й визна-чили мету цього дослідження.…”