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Year 2019, Volume: 32 Issue: 2, 62 - 67, 31.05.2019

Reyhan Arslantas Tumay Umuroglu

https://doi.org/10.5472/marumj.570905
Cited By: 1

Abstract

References

  • 1. Practice Guidelines for Obstetric Anesthesia: An updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology 2016 Feb;124:270-300. doi:10.1097/ALN.000.000.0000000935
  • 2. Cyna AM, Dodd J. Clinical update: obstetric anaesthesia. Lancet 2007;370:640-2. 10.1016/S0140-6736(07)61320-8
  • 3. Ismail S, Shahzad K, Shafiq F. Observational study to assess the effectiveness of postoperative pain management of patients undergoing elective cesarean section. J Anaesthesiol Clin Pharmacol 2012 ;28:36-40. doi: 10.4103/0970- 9185.92432.
  • 4. Hobson JA, Slade P, Wrench IJ, Power L. Preoperative anxiety and postoperative satisfaction in women undergoing elective caesarean section. Int J Obstet Anesth 2006;15:18- 23.
  • 5. Gorkem U, Togrul C, Sahiner Y, Yazla E, Gungor T. Preoperative anxiety may increase postcesarean delivery pain and analgesic consumption. Minerva Anestesiol 2016 ;82:974-80.
  • 6. Kessous R, Weintraub AY, Wiznitzer A, et al. Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception. Arch Gynecol Obstet 2012 ;286:75-9. doi: 10.1007/s00404.012.2265-y.
  • 7. Powell R, Scott NW, Manyande A, et al. Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. Cochrane Database Syst Rev 2016 26:CD008646. doi: 10.1002/14651858
  • 8. Sutton CD, Carvalho B. Optimal pain management after cesarean delivery. Anesthesiol Clin 2017;35:107-24. doi: 10.1016/j.anclin.2016.09.010.
  • 9. Riker RR, Picard JT, Fraser GL. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med 1999 ;27:1325-9.
  • 10. Kessous R, Wiznitzer A, Polachek H, et al. Preoperative analgesia with local lidocaine infiltration for post cesarean delivery pain management. J Matern Fetal Neonatal Med 2012 ;25:1131-4. doi:10.3109/14767.058.2011.624222.
  • 11. Wang JJ, Ho ST, Liu HS, Tzeng JI, Tze TS, Liaw WJ. The preemptive effect of regional anesthesia on post-cesarean section pain. Acta Anaesthesiologica Sinica 1995 ;33:211-6.
  • 12. Fassoulaki A, Staikou C, Melemeni A, Kottis G, Petropoulos G. Anaesthesia preference, neuraxial vs general, and outcome after caesarean section. J Obstet Gynaecol 2010;30:818-21. doi: 10.3109/01443.615.2010.518650
  • 13. Acikel A, Ozturk T, Goker A, Hayran GG, Keles GT. Comparison of patient satisfaction between general and spinal anaesthesia in emergency caesarean deliveries. Turk J Anaesthesiol Reanim 2017;45:41-6. doi: 10.5152/ TJAR.2017.38159.
  • 14. Afolabi BB, Lesi FE. Regional versus general anaesthesia for caesarean section. The Cochrane Database Syst Rev 2012 ;10:CD004350. doi: 10.1002/14651858.

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

Year 2019, Volume: 32 Issue: 2, 62 - 67, 31.05.2019

Reyhan Arslantas Tumay Umuroglu

https://doi.org/10.5472/marumj.570905
Cited By: 1

Abstract

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 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.

Keywords

Cesarean section Emergent cesarean sections Elective cesarean sections Postoperative pain General anesthesia Spinal anesthesia

References

  • 1. Practice Guidelines for Obstetric Anesthesia: An updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology 2016 Feb;124:270-300. doi:10.1097/ALN.000.000.0000000935
  • 2. Cyna AM, Dodd J. Clinical update: obstetric anaesthesia. Lancet 2007;370:640-2. 10.1016/S0140-6736(07)61320-8
  • 3. Ismail S, Shahzad K, Shafiq F. Observational study to assess the effectiveness of postoperative pain management of patients undergoing elective cesarean section. J Anaesthesiol Clin Pharmacol 2012 ;28:36-40. doi: 10.4103/0970- 9185.92432.
  • 4. Hobson JA, Slade P, Wrench IJ, Power L. Preoperative anxiety and postoperative satisfaction in women undergoing elective caesarean section. Int J Obstet Anesth 2006;15:18- 23.
  • 5. Gorkem U, Togrul C, Sahiner Y, Yazla E, Gungor T. Preoperative anxiety may increase postcesarean delivery pain and analgesic consumption. Minerva Anestesiol 2016 ;82:974-80.
  • 6. Kessous R, Weintraub AY, Wiznitzer A, et al. Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception. Arch Gynecol Obstet 2012 ;286:75-9. doi: 10.1007/s00404.012.2265-y.
  • 7. Powell R, Scott NW, Manyande A, et al. Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. Cochrane Database Syst Rev 2016 26:CD008646. doi: 10.1002/14651858
  • 8. Sutton CD, Carvalho B. Optimal pain management after cesarean delivery. Anesthesiol Clin 2017;35:107-24. doi: 10.1016/j.anclin.2016.09.010.
  • 9. Riker RR, Picard JT, Fraser GL. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med 1999 ;27:1325-9.
  • 10. Kessous R, Wiznitzer A, Polachek H, et al. Preoperative analgesia with local lidocaine infiltration for post cesarean delivery pain management. J Matern Fetal Neonatal Med 2012 ;25:1131-4. doi:10.3109/14767.058.2011.624222.
  • 11. Wang JJ, Ho ST, Liu HS, Tzeng JI, Tze TS, Liaw WJ. The preemptive effect of regional anesthesia on post-cesarean section pain. Acta Anaesthesiologica Sinica 1995 ;33:211-6.
  • 12. Fassoulaki A, Staikou C, Melemeni A, Kottis G, Petropoulos G. Anaesthesia preference, neuraxial vs general, and outcome after caesarean section. J Obstet Gynaecol 2010;30:818-21. doi: 10.3109/01443.615.2010.518650
  • 13. Acikel A, Ozturk T, Goker A, Hayran GG, Keles GT. Comparison of patient satisfaction between general and spinal anaesthesia in emergency caesarean deliveries. Turk J Anaesthesiol Reanim 2017;45:41-6. doi: 10.5152/ TJAR.2017.38159.
  • 14. Afolabi BB, Lesi FE. Regional versus general anaesthesia for caesarean section. The Cochrane Database Syst Rev 2012 ;10:CD004350. doi: 10.1002/14651858.
There are 14 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research
Authors

Reyhan Arslantas This is me

Tumay Umuroglu This is me

Publication Date May 31, 2019
Published in Issue Year 2019 Volume: 32 Issue: 2

Cite

APA Arslantas, R., & Umuroglu, T. (2019). Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section. Marmara Medical Journal, 32(2), 62-67. https://doi.org/10.5472/marumj.570905
AMA Arslantas R, Umuroglu T. Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section. Marmara Med J. May 2019;32(2):62-67. doi:10.5472/marumj.570905
Chicago Arslantas, Reyhan, and Tumay Umuroglu. “Comparing the Effects of General and Spinal Anesthesia on the Postoperative Pain Intensity in Patients Undergoing Emergent or Elective Cesarean Section”. Marmara Medical Journal 32, no. 2 (May 2019): 62-67. https://doi.org/10.5472/marumj.570905.
EndNote Arslantas R, Umuroglu T (May 1, 2019) Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section. Marmara Medical Journal 32 2 62–67.
IEEE R. Arslantas and T. Umuroglu, “Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section”, Marmara Med J, vol. 32, no. 2, pp. 62–67, 2019, doi: 10.5472/marumj.570905.
ISNAD Arslantas, Reyhan - Umuroglu, Tumay. “Comparing the Effects of General and Spinal Anesthesia on the Postoperative Pain Intensity in Patients Undergoing Emergent or Elective Cesarean Section”. Marmara Medical Journal 32/2 (May 2019), 62-67. https://doi.org/10.5472/marumj.570905.
JAMA Arslantas R, Umuroglu T. Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section. Marmara Med J. 2019;32:62–67.
MLA Arslantas, Reyhan and Tumay Umuroglu. “Comparing the Effects of General and Spinal Anesthesia on the Postoperative Pain Intensity in Patients Undergoing Emergent or Elective Cesarean Section”. Marmara Medical Journal, vol. 32, no. 2, 2019, pp. 62-67, doi:10.5472/marumj.570905.
Vancouver Arslantas R, Umuroglu T. Comparing the effects of general and spinal anesthesia on the postoperative pain intensity in patients undergoing emergent or elective cesarean section. Marmara Med J. 2019;32(2):62-7.

Cited By

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https://doi.org/10.1186/s42077-020-00121-7