EFFECTS OF GENERAL AND SPINAL ANESTHESIA WITH MARCAINE ON MATERNAL HEM ODYNAMIC AND NEWBORNS' APGAR SCORE

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RAFIEI M.R.; TABASI Z.; MOUSAVI SEYED GHOLAM ABAS

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Journal: Feyz Medical Sciences Journal Year:2005 | Volume:9 | Issue:1 (Serial 33) Page(s): 30-34

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Title

EFFECTS OF GENERAL AND SPINAL ANESTHESIA WITH MARCAINE ON MATERNAL HEM ODYNAMIC AND NEWBORNS' APGAR SCORE

Author(s)

RAFIEI M.R. | TABASI Z. | MOUSAVI SEYED GHOLAM ABAS | Issue Writer Certificate

Keywords

PREECLAMSIAQ3

SPINAL ANESTHESIAQ3

MARCAINEQ2

Abstract

Background: Several investigations on safe anesthesia in preeclamptic parturient show that general anesthesia has greater risk than SPINAL ANESTHESIA. This study was conducted on preeclamptic parturient to show SPINAL ANESTHESIA with slow acting drugs not only accompanying stable maternal hemodynamic but also can bypass difficult intubations and consecutive hypoxia. Materials and Methods: It was a randomized clinical trial study (RCT). After we received institutional ethics committee approval and informed patient consent, all preeclamptic parturient aged 18-40 yr and scheduled to undergo elective cesarean section, were randomly divided in two groups: general anesthesia with sodium thiopental S mg/kg and succinylcholine 1.5 mg/kg IV, and SPINAL ANESTHESIA with MARCAINE 2mgplus epinephrine 0.2 mg CSF. Blood pressure was measured at 1st, 5th, 10th & 15thminutes and Apgar scores of 1st and 5th minutes were recorded. Data analysis was achieved using chi-square test and SPSS soft ware. Results: There was no significant difference regarding the age and body weight prior to study. IV fluid intake was greater in spinal than general anesthesia (P=0.026). There was no significant difference between desirable and undesirable apgar score of 15th minute (P>0.05). Undesirable apgar score of first minute was greater in general than SPINAL ANESTHESIA (P=0.004). At the first minute of anesthesia all blood pressures in the SPINAL ANESTHESIA were desirable but 68.8% of them were desirable in general anesthesia. (P=0.0002). At 15th minute in the SPINAL ANESTHESIA only 85.4% of blood pressures were desirable but in general anesthesia all blood pressures were desirable. (P=0.0123) Conclusion: In preeclamptic parturient undergoing cesarean section SPINAL ANESTHESIA with MARCAINE is safer than general anesthesia.

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APA: Copy

RAFIEI, M.R., TABASI, Z., & MOUSAVI, SEYED GHOLAM ABAS. (2005). EFFECTS OF GENERAL AND SPINAL ANESTHESIA WITH MARCAINE ON MATERNAL HEM ODYNAMIC AND NEWBORNS' APGAR SCORE. FEYZ, 9(1 (Serial 33)), 30-34. SID. https://sid.ir/paper/40518/en

Vancouver: Copy

RAFIEI M.R., TABASI Z., MOUSAVI SEYED GHOLAM ABAS. EFFECTS OF GENERAL AND SPINAL ANESTHESIA WITH MARCAINE ON MATERNAL HEM ODYNAMIC AND NEWBORNS' APGAR SCORE. FEYZ[Internet]. 2005;9(1 (Serial 33)):30-34. Available from: https://sid.ir/paper/40518/en

IEEE: Copy

M.R. RAFIEI, Z. TABASI, and SEYED GHOLAM ABAS MOUSAVI, “EFFECTS OF GENERAL AND SPINAL ANESTHESIA WITH MARCAINE ON MATERNAL HEM ODYNAMIC AND NEWBORNS' APGAR SCORE,” FEYZ, vol. 9, no. 1 (Serial 33), pp. 30–34, 2005, [Online]. Available: https://sid.ir/paper/40518/en

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