Retrospective Evaluation of Anaesthetic Techniques for Caesarean

Abstract

and to compare the results with the literature from Turkey and developed countries. Methods: After obtaining approval from the ethics committee, anaesthetic and gestational data from all caesarean operations performed over a 6-year period between 2005 and 2010 was retrospectively obtained from hospital archives. Results: During this period, a total of 10,819 labours was conducted and C/S ratio was 55% with 5953 patients. General anaesthesia was performed in 1479 patients (24.8%) and regional anaesthesia was performed in 4474 patients (75.2%) [Spinal anaesthesia for 1203 patients (26.9%), epidural anaesthesia for 830 patients (18.5%) and combined spinal-epidural anaesthesia for 2441 patients (54.6%)]. In 2010, regional anaesthesia ratio increased to 84.6%, whereas in 2005, it was 63.8%. Regional anaesthesia was used significantly more often in both elective and urgent patients (82% elective and 65.2% emergency). Because of failed regional anaesthesia or surgical complications, anaesthesia was changed to general anaesthesia in 215 patients (4.8%). APGAR scores in 1 and 5 min were significantly higher with regional anaesthesia when compared with general anaesthesia. Conclusion: Regional anaesthesia rate for C/S patients in the Hospital of Medical School of Dokuz Eylül University is increased and is higher than Turkey's average; but these figures are still lower than those in the developed countries.

Cesarean Sections under General Anesthesia at a Tertiary Care Center in Western Nepal: A Descriptive Cross-sectional Study

“…Higher proportion of indication as a maternal choice of anesthesia, lack of physician anesthetist trained in neuraxial anesthesia and unfamiliarity with neuraxial technique in the anesthesia provider were the reasons for the high rate of GA for CS. 5 , 12 - 14 The rate of CS under GA has also been seen related to ethnicity, geographical location and region of origin. A study done in Ireland demonstrated high rate of GA for emergency CS in migrants from North Africa, Middle East and Eastern Europe in comparison to the native Irish people.…”

“…However, in a study conducted by Sari M et al in Turkey, the use of GA ranged from 10.1% to 30.1% in elective CS and 23.5% to 42.6% in emergency CS. 12 …”

“…In our study, out of the total CS performed under GA, 80.57% were emergency cases and 18.05% were elective cases, which is similar to that reported in past studies. 11 , 12 …”

Our Experiences of Anesthesia in Emergency Cesareans

“…Aksoy Sarı ve ark. (11) en sık ilk üç endi sezaryen endikasyonu; eski sezaryen %34.2, sefalopelvik uygunsuzluk %22.5, fetal distres %16.5 olarak bulmuşlardır. Her iki çalışmada elektif ve acil sezaryen beraber değerlendirilmiştir.…”

Retrospective Analysis of Anesthesia Techniques Applied in Cesarean Section and Factors Effective on Neonatal Apgar Score: Case of District State Hospital

“…Ancak sezaryende son yıllarda anne ve bebek için daha güvenilir olması nedeniyle rejyonal anestezi daha fazla tercih edilmeye başlanmış ve çalışmalarda da rejyonal anestezi oranlarının yıllar içinde arttığı gösterilmiştir. Ancak, rejyonal anestezi tekniğinin yıllar içindeki bu artışı tüm ülkelerde ya da ülkemizde çeşitli merkezlerde aynı hızda olmamaktadır (1)(2)(3) . Aynı zamanda her merkezde uygulanan rejyonal anestezi yöntemleri de değişmektedir.…”