Comparison of Spinal and General Anaesthesia in Patients Undergoing Caesarean Section: A Prospective Study at a Tertiary Care Teaching Hospital
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 9
Abstract
Background: Cesarean section (CS) is one of the most common surgical procedures today. About 20-25% of all birth is by CS. Surgery and anesthetic technique employed has been shown to effect postoperative outcomes, specifically effecting the length of hospital stay. Hence; present study was planned to assess and compare the efficacy of spinal anaesthesia and general anaesthesia in patients undergoing CS. Materials & Methods: The present study included evaluation and comparison of efficacy of spinal and general anaesthesia in patients undergoing caesarean section. A total of 30 subjects were included in the present study and were broadly divided into two study groups; group 1 and group 2 with 15 patients in each group. Group 1 included patients which underwent caesarean section under general anaesthesia and group 2 included patients which underwent caesarean section under spinal anaesthesia. All the patients underwent complete haematological and biochemical investigation before the starting of the surgical procedure. Complicate demographic details of all the patients were recorded. Presence of any postoperative complication were also evaluated and recorded. All the results were analyzed by SPSS software. Results: A total of 30 pregnant females were included in the present study and were broadly divided into two study groups with 15 females in each group. Mean age of the patients of group 1 and group 2 was 33.5 years and 34.1 years respectively. Mean gestation weeks of patients of group 1 and group 2 were 38.5 weeks and 38.4 weeks respectively.Number of hypotensive patients observed in group 1 and group 2 after procedure were found to be 2 and 8 respectively. Significant results were obtained while comparing the total intraoperative fluid requirement and number of ephedrine requiring patients in between both the study groups. Conclusion: In comparison to spinal anaesthesia, general anaesthesia is comparatively better for patients undergoing elective caesarean section.
Authors and Affiliations
Ratan Pal Singh
Keywords
Related Articles
- EP ID EP539252
- DOI 10.21088/ijaa.2349.8471.5918.19
- Views 87
- Downloads 0
Comparison of Post Dural Puncture Headache with 23G, 25G and 27G quincke needle in Caesarean section
Background: Post dural puncture headache (PDPH) is a common and incapacitating complication of spinal anesthesia, with higher incidence in obstetric patients, affects postoperative wellbeing of mother as well as child. T...
To Study and Compare Efficacy of Ropivacaine and Bupivacaine for Caudal Analgesia in Paediatric Patients
Aims and objectives: The aim of the study was to compare quality and duration of intra and post operative analgesia and need of rescue analgesia of 0.5 ml/kg of 0.25% Bupivacaine. and 0.5 ml/kg of 0.2% Ropivacaine. Metho...
Comparison of the Ropivacaine and Ropivacaine with Fentanyl in Femoral Nerve Block Prior to Spinal Anaesthesia for Positioning in Orthopedic Lower Limb Surgeries
Introduction: Spinal anesthesia is performed for orthopedic lowerlimb surgeries for its dense blockade, rapid onset and pain relief in the postoperative period. femoral nerve block is performed prior to subarachnoid bloc...
Comparison of Intubating Conditions, Efficacy and Safety of Airtraq Laryngoscope and Macintosh Laryngoscope: A Randomized Controlled Trial
Context: Considering the potential difficulties associated with conventional laryngoscopy in difficult incubating conditions, airway devices that increase the ease of performing can have a profound clinical impact. Aim:...
Nalbuphine as an Intrathecal Adjuvant is a Good Alternative to Fentany l
Background: 0.5% Bupivacaine used in subarachnoid block provides about 3 hours of analgesia. Opioids morphine and Fentanyl are used as adjuvant to produce extended postoperative analgesia. Nalbuphine is an agonist antago...