Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception

Kessous, Roy; Weintraub, Adi Y.; Wiznitzer, Arnon; Zlotnik, Alexander; Pariente, Gali; Polachek, Hana; Press, Fernanda; Aricha-Tamir, Barak; Leizerovich, Adi

doi:10.1007/s00404-012-2265-y

Cited by 25 publications

(28 citation statements)

References 25 publications

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“…No studies are available that investigate how these anesthesia techniques affect postoperative pain when applied to both emergent and elective cesarean sections. In the present study, postoperative pain was evaluated in four groups, [6]. In the first postoperative 8 h, they found that VAS scores were significantly higher in patients with spinal anesthesia compared to patients administered general anesthesia (3.9 versus 3.2, respectively) [6].…”

Section: Discussionmentioning

confidence: 61%

“…In the present study, postoperative pain was evaluated in four groups, [6]. In the first postoperative 8 h, they found that VAS scores were significantly higher in patients with spinal anesthesia compared to patients administered general anesthesia (3.9 versus 3.2, respectively) [6]. The authors emphasized that these scores were within low to moderate ranges in defining pain intensity and had negligible clinical significance.…”

Section: Discussionmentioning

confidence: 63%

“…In this condition, performing spinal anesthesia may exacerbate the anxiety. As a result, pain experienced in the post-cesarean section period is closely related to the preoperative anxiety, urgency of the procedure and anesthesia method [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section

Arslantaş¹,

Umuroğlu²

2019

Marmara Medical Journal

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Objective:The aim of this study is to compare the effects of general and spinal anesthesia on postoperative pain intensity and analgesic agent requirements in patients scheduled for emergent or elective cesarean sections.Patients and Methods: This was a prospective, observational study conducted in patients who underwent emergent or elective cesarean delivery under spinal or general anesthesia. Postoperative pain intensity and analgesic agent requirements, postoperative complications and patients' satisfactions were evaluated during the first 48 h postoperatively.Results: A total of 212 parturients were enrolled; 104 (53 elective, 51 emergent) patients received general and 108 (54 elective, 54 emergent) patients received spinal anesthesia. Preoperatively, patients who underwent emergent cesarean section under spinal or general anesthesia had higher Numeric Rating Scale (NRS) scores than the patients who underwent elective cesarean delivery (p<0.001). In the first postoperative 48 h, NRS pain scores were similar in patients who underwent emergent or elective cesarean sections under spinal or general anesthesia. Postoperative analgesic agent requirements and patients' satisfactions were not statistically significant between groups.Conclusion: The effects of general and spinal anesthesia on postoperative pain were similar in emergent and elective cesarean sections. Therefore, postoperative analgesic effect should not be a determining factor in choosing the anesthesia method in cesarean sections.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 63%

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Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section

Arslantaş¹,

Umuroğlu²

2019

Marmara Medical Journal

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“…Hasil analisis menunjukkan tidak ada perbedaan intensitas nyeri pada berbagai posisi pada kedua kelompok penggunaan anestesi ini. Hasil penelitian ini mendukung hasil penelitian sebelumnya yang menunjukkan skor nyeri pada kedua kelompok hampir seimbang, sehingga tidak terdapat perbedaan intensitas nyeri pada 6 sampai dengan 24 jam paska operasi (Kessous et al, 2012;Naghibi, Saryazdi, Kashefi & Rohani, 2013).…”

Section: Pembahasanunclassified

Pengaruh Sentuhan Spiritual Quantum terhadap Nyeri Saat Perubahan Posisi pada Pasien Paska Operasi di Ruang Perawatan Intensif

Haryani¹,

Susilaningsih²,

Sriati³

2016

JKP

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AbstrakPasien paska operasi besar berisiko mengalami komplikasi yang mengancam kehidupan. Mobilisasi dini merupakan salah satu prosedur untuk mencegah komplikasi tersebut, namun mobilisasi menyebabkan peningkatan nyeri. Sentuhan Spiritual Quantum (SSQ) merupakan intervensi komplementer berbasis biofield energy yang telah banyak digunakan pada praktik keperawatan untuk mengurangi nyeri post operasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh SSQ terhadap nyeri saat miring kiri kanan pada pasien paska operasi. Desain penelitian adalah pre-eksperimental one group pretest-post test design. Jumlah sampel dalam penelitian adalah 18 orang yang didapat melalui purposive sampling. Intensitas nyeri diukur dengan menggunakan Numeric Rating Scale (0-10). Analisis data menggunakan wilcoxon test untuk mengetahui perbedaan intensitas nyeri pada pengukuran pre dan post test. Hasil penelitian menunjukkan nilai median intensitas nyeri saat istirahat adalah 5, posisi miring tanpa SSQ adalah 8, posisi miring setelah SSQ1 adalah 5,5 dan miring setelah SSQ 2 adalah 5. Terjadi penurunan yang bermakna saat miring setelah SSQ1(p=0,001) dan SSQ2. SSQ dapat menjadi alternatif bagi perawat di area keperawatan kritis dalam manajemen nyeri non farmakologis untuk meningkatkan kemampuan mobilisasi. Diperlukan penelitian lanjutan menggunakan sampel yang lebih besar dan kasus yang lebih bervariasi. Kata kunci:Biofield, mobilisasi, nyeri paska operasi, sentuhan spiritual quantum. The Effect of Spiritual Quantum Touch towards Pain after Positioning among Post-Operative Patients in the Intensive Care Unit AbstractEarly mobilization is a common procedure to prevent post-surgical complications that may stimulate pain sensation among patients. Spiritual Quantum Touch (SSQ) is a bio field energy therapy which has been used to reduce post-operative pain. This study aimed to identify the effect of SSQ towards pain intensity during positioning (left and right prone). This quasi-experimental study recruited 18 subjects using purposive sampling technique. Pain intensity was measured using Numeric Rating Scale (0-10). Data was analysed using Wilcoxon test to identify the differences of pain intensity of pre and post measurement. It is shown that the pain intensity median during resting position was 5, prone position without SSQ were 8, and prone position after SSQ1 was 5, 5, and prone position after SSQ2 was 5. There was a significant decrease after SSQ1 (p=0,001) and SSQ2. Thus, nurses can use SSQ as an alternative of non-pharmacologic intervention to reduce post-operative pain in order to improve patient's mobility. Using larger samples and various types of cases is warrant for further research.

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“…Certain diseases causing bleeding tendencies may also preclude the use of a regional anesthesia. In addition, general anesthesia is a requirement when a regional anesthesia is not successful to provide the proper amount of anesthesia necessary to perform cesarean operation [6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

A bibliometric analysis of global scientific production on cesarean and anesthesia

Yaycı¹,

Deren²,

Yaycı³

2014

Cumhuriyet Med J

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Aim. Bibliometric studies can be performed to evaluate the quantitative scientific performance on a specific topic via evaluating the accumulation of scientific data. Interpreting quantitative performance of a country with respect to bibliometric analyses is also an important way to assess the quality and quantity of that country's contribution to the distribution of medical data about a topic. In this study, we aimed to make a quantitative analysis of the scientific publications related to anesthesia and cesarean delivery; and also to investigate publications originating from Turkish institutions and authors, which are published in Expanded covered medical journals. Method. We retrospectively searched papers published in the field of anesthesia and cesarean delivery up to November 2012 by using the Web of Science software. Papers that were published in Science Citation Index Expanded covered journals were taken into account. Results. Web of Science based search through the database of SCI Expanded up to November 2012, revealed 4637 English scientific documents related to anesthesia and cesarean delivery. Among 4637 English publications, we found that 1262 (27.2%) from United States of America, followed by England (16.9%), Canada (6.5%), Germany (5.6%), France (4.2%), Australia (4.1%), and Turkey (3%). All other countries had a contribution smaller than 3%. Turkey had 458 (3%) publications and ranked 7 in this list. The international scientific repertory was relatively poor on our topic before 1991. On the other hand, we observed an international acceleration with respect to the publication number after 2000s. Publications from Turkey showed up only after 1996. Turkey's contribution to international repertory seems to speed up after 2002. The document types up to the date of the study (November 2012) classified by Web of Science in English SCI Expanded-based were mostly articles (71.8%) and letters (9.7%). The main source of publications from all over the world was the university hospitals. Conclusion. In conclusion, we observed that the quantity and quality of research in the field of anesthesia for cesarean delivery has increased rapidly in the last decade. Turkey made a remarkable contribution to this repertory especially during the last decade. Anesthesia for cesarean section as a unique procedure having a potential to be harmful for mother and fetus still needs several investigations to improve maternal and neonatal health.

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Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception

Abstract: Spinal anesthesia is comparable to general anesthesia in terms of post-operative pain control. In choosing the type of anesthesia in CS, other factors such as the urgency and potential maternal and fetal hazards should be taken into account.

Cited by 25 publications

References 25 publications

Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section

Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section

Pengaruh Sentuhan Spiritual Quantum terhadap Nyeri Saat Perubahan Posisi pada Pasien Paska Operasi di Ruang Perawatan Intensif

A bibliometric analysis of global scientific production on cesarean and anesthesia

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