Use of Cerebral Oximetry in Elective Cesarean Section Procedures Performed Under Spinal Anesthesia: A Randomized Prospective Study
Journal Title: The Medical Bulletin of Haseki - Year 2021, Vol 59, Issue 1
Abstract
Aim: To compare the effect of bupivacaine and bupivacaine/fentanyl combination on cerebral oxygenation values with the Near-infrared spectroscopy (NIRS) technique in elective cesarean sections performed under spinal anesthesia. Methods: Fifty patients who underwent cesarean section under spinal anesthesia were randomly divided into two groups. 7.5-10 mg 0.5% hyperbaric bupivacaine was administered to the bupivacaine group (n=25) and 7.5-10 mg 0.5% hyperbaric bupivacaine+20-25 mcg fentanyl was given to the combination group (n=25). Heart rate, mean arterial pressure, peripheral oxygen saturation, mean values of regional cerebral oxygen saturation after spinal anesthesia were recorded preoperatively and the 1st, 5th, 10th, 15th and 20th minutes after anesthesia. The presence of perioperative nausea and vomiting was assessed with the Verbal Descriptive Scale. Results: Significant difference was observed in mean arterial pressure values between groups (p=0.001). There was a statistically significant change in cerebral oxygenation values during surgery in both groups (p=0.001). The frequency of nausea and vomiting was lower in the combination group (p=0.009). Conclusion: The non-invasive NIRS technique can be safely applied in the monitoring of cerebral oxygenation and hemodynamics in elective cesarean section procedures undergoing spinal anesthesia.
Authors and Affiliations
Tuğba Onur, Ümran Karaca, Melek Güra Çelik
Keywords
Related Articles
- EP ID EP693377
- DOI 10.4274/haseki.galenos.2021.6620
- Views 98
- Downloads 0
Cytoreductive Surgery and Hyperthermic İntraperitoneal Chemoterapy for Advance Gastric Cancer Associated Peritoneal Carcinomatosis Single Centre Unit for 10 Consecutive Patients
Aim: Hyperthermic intraperitoneal chemotherapy with cytoreductive surgery has a positive effect on survival in advanced abdominal cancers. We aimed to present our experience with cytoreductive surgery and hyperthermic in...
Visceral Adiposity Index, Body Fat Index and Fat Mass In Patients with Chronic Renal Failure
Aim: The aim of this study was to investigate the level of visceral adiposity index (VAI), body fat index and fat mass in patients with chronic renal failure (CRF). Methods: A total of 231 subjects were enrolled, of whi...
Is Complement Factor H Tyr402His Variant a Potential Cause of Ankylosing Spondylitis?
Aim: Ankylosing spondylitis (AS) is an autoimmune disease caused by chronic inflammatory response. Complement system is the major component of the innate immune defence. In this study, we investigated the potential assoc...
A Survey Analyzing Reflections of COVID-19 on Patients and Their Relatives
Aim: In this study, we aimed to analyze the level of knowledge about Coronavirus disease-2019 (COVID-19) in patients and their relatives presented to the emergency department. Methods: In this study, a 25-item questionn...
Endoscopic Retrograde Cholangiopancreatography Related Bleeding Complication and Easy Management
Aim: Endoscopic retrograde cholangiopancreatography (ERCP) has serious complications such as pancreatitis, perforation, cholangitis and bleeding. Our aim is to raise awareness about bleeding complication and management a...