The Neurologic and Adaptive Capacity Score

Brockhurst, N J; Littleford, Judith; Halpern, Stephen H.; Fisher, Dennis M.

doi:10.1097/00000542-200001000-00036

Cited by 36 publications

(6 citation statements)

References 38 publications

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“…It stresses on motor tone as a main indicator of drug-induced depression. [ 21 ] However, Brockhurst et al . indicate its poor reliability regarding obstetric anesthesia research.…”

Section: Discussionmentioning

confidence: 99%

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Premedication with midazolam prior to cesarean delivery in preeclamptic parturients: A randomized controlled trial

2016

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Background:Anxiety is a concern in obstetrics, especially in preeclamptic mothers. Sedation is not commonly used in parturients for fear of adverse neonatal effect. We investigated maternal and neonatal outcome of midazolam as an adjuvant to spinal anesthesia for elective cesarean delivery.Methods:A prospective randomized controlled trial, in which eighty preeclamptic parturients received either an intravenous dose of 0.035 mg/kg of midazolam or an equal volume of normal saline, 30 min before spinal anesthesia. Maternal anxiety was assessed using Amsterdam Preoperative Anxiety and Information Scale (APAIS); postoperative maternal satisfaction was assessed using Maternal Satisfaction Scale for Cesarean Section (MSSCS). Newborns were assessed using Apgar score, Neonatal Neurologic and Adaptive Capacity Score (NACS), and umbilical artery blood gases.Results:Mothers premedicated with midazolam showed a lower level of preoperative anxiety and a higher degree of postoperative satisfaction than the control group. There were no between-group differences regarding the neonatal outcome.Conclusion:Preeclamptic parturients premedicated with midazolam (0.035 mg/kg) before spinal anesthesia have lower anxiety and higher postoperative satisfaction levels, with no adverse effects on the newborns.

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“…It stresses on motor tone as a main indicator of drug-induced depression. [ 21 ] However, Brockhurst et al . indicate its poor reliability regarding obstetric anesthesia research.…”

Section: Discussionmentioning

confidence: 99%

“…Basic neonatal examination was performed, and Apgar scores were recorded at min 1 and 5, and the Neonatal Neurological and Adaptive Capacity Scoring (NACS) was measured and recorded at 15 min. [ 21 ]…”

Section: Methodsmentioning

confidence: 99%

Premedication with midazolam prior to cesarean delivery in preeclamptic parturients: A randomized controlled trial

2016

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“…22 NACS was developed to differentiate newborn drug-induced depression as a result of asphyxia, labor trauma, or neurological disease. 12 In a review article, Brockhurst et al 23 criticized the AmielTison test as follows: 1) variability of maternal anthropometric data, 2) exclusion/inclusion factors for neonates, and 3) gestational age. In our study, samples from both groups were homogeneous -young parturient women with similar data (BMI); most were in their first pregnancy and had stated maximum pain evaluation before analgesia ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…In our study, samples from both groups were homogeneous -young parturient women with similar data (BMI); most were in their first pregnancy and had stated maximum pain evaluation before analgesia ( Table 1). The Brockhurst et al 23 criticism of the Amiel-Tison test would therefore not apply. Other researchers 24 also assessed NACS reliability with two teams of observers trained to perform the test on healthy, fullterm neonates born in vertex presentation.…”

Section: Discussionmentioning

confidence: 99%

Effects on mother and fetus of epidural and combined spinal-epidural techniques for labor analgesia

Nakamura¹,

Ganem²,

Rugolo³

et al. 2009

Rev. Assoc. Med. Bras.

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Summary objectIve. Epidural (EA) and combined spinal-epidural (CSE) techniques have both been utilized for labor analgesia. This study compared the effects on the mother and newborn of these techniques in labor analgesia and anesthesia. Methods. Forty pregnant women received epidural analgesia with 15 mL of 0.125% ropivacaine (EA group) and 5 µg of sufentanil plus 2.5mg bupivacaine in the subarachnoid space (CSE group). Pain intensity, sensory blockade level, latency time, motor block intensity, labor analgesia duration, epidural analgesia duration, maternal hypotension, and pruritus were evaluated. The newborns were evaluated by Apgar and the neurological and adaptive capacity score (NACS) developed by Amiel-Tison. results. There were no significant statistical differences between groups for pain scores, latency time, sensory blockade level, and Apgar score. Motor block, labor analgesia duration, and epidural analgesia duration were greater in the CSE group, whose seven mothers had mild pruritus. The NACS were greater in the EA group after half, two, and 24 hours. Ninety five percent of EA group newborns and 60% of CSE group newborns were found to be neurologically healthy at the 24 hour examination. conclusIon. EA and CSE analgesia relieved maternal pain during obstetric analgesia, but CSE mothers had pruritus and a longer labor. Newborns of mothers who received epidural analgesia showed the best NACS.

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“…In this study, NACS is used as a test which its validity and reliability has already been demonstrated. [ 3 4 5 6 7 8 9 10 11 12 13 14 ]…”

Section: Discussionmentioning

confidence: 99%

Effects of different anesthetic techniques on neurologic and adaptation capacity in newborn with elective cesarean section

Hashemi

Mokhtary²

2015

Adv Biomed Res

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Background:Neurologic and Adaptive Capacity Scoring (NACS) has been introduced as a screening test for diagnosis of central nervous system depression due to intrapartum drugs on the neonate. This test can show neurological and behavioral changes even in the presence of a normal Apgar score. NACS has 20 indicators, each indicator allocating to itself the score zero, one or two. The aim of this study was to compare the effects of different anesthetic techniques on the NACS values.Materials and Methods:This study was performed as a randomized, single-blind clinical trial on 75 infants born with elective cesarean in Shahid Beheshti Hospital, Isfahan. Simple Sampling method was carried out and the information was gathered by questionnaires. Anesthetic techniques included general, spinal or epidural anesthesia. NACS score was assessed at 15th min, 2 and 24 h after birth and then the anesthesia technique was recorded in the questionnaire. NACS score 35 or above was considered normal and 34 or less was abnormal.Results:In the present study, no significant correlation was found between the anesthesia techniques and NACS score. The mean NACS at 15 min after birthin the general, spinal and epidural groups were 33.5 ± 2.2, 33.0 ± 4.4 and 33.7 ± 1.6 respectively (P = 0.703).Conclusion:All three anesthetic techniques have identical effects on neurological and compatibility capacity of neonates born with elective cesarean; so, this could necessarily be a base to recommend the three methods equally.

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The Neurologic and Adaptive Capacity Score

Cited by 36 publications

References 38 publications

Premedication with midazolam prior to cesarean delivery in preeclamptic parturients: A randomized controlled trial

Premedication with midazolam prior to cesarean delivery in preeclamptic parturients: A randomized controlled trial

Effects on mother and fetus of epidural and combined spinal-epidural techniques for labor analgesia

Effects of different anesthetic techniques on neurologic and adaptation capacity in newborn with elective cesarean section

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