COMPARISON OF THE EFFECTS OF ANESTHESIA METHOD APPLIED IN ELECTIVE CESAREAN SECTION ON NEONATAL BILIRUBIN LEVEL

Deniz Turan

Makale detayları

COMPARISON OF THE EFFECTS OF ANESTHESIA METHOD APPLIED IN ELECTIVE CESAREAN SECTION ON NEONATAL BILIRUBIN LEVEL

Yazarlar:

Deniz Turan

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Anaesthesiology

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 4, pp.644-650

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001307504

pISSN:

1300-7416

Anahtar kelimeler:

Özet:

 Objective General and regional anesthesia techniques are used in cesarean section operations, which are frequently applied today. The aim of this study was to examine the effect of general anesthesia on newborn bilirubin and to compare it with the level of bilirubin in babies born with regional anesthesia. Material and Method Between March 2022 and September 2022, 154 patients over 18 years of age with term pregnancy and elective cesarean section planned without complications were randomly included in the study. Cases diagnosed with liver and biliary tract disease, systemic liver and biliary tract effective drug use, direct coombs test Dcoombs  and Covid 19  clinics were excluded. Results General anesthesia was applied to 75 48.8 of the patients included in our study, and spinal anesthesia was applied to 79 51.2 patients, who underwent cesarean section. It was determined that the first hour bilirubin and the fourth hour bilirubin values were significantly higher p 0.05 in the general anesthesia group than the spinal anesthesia group. APGAR 1st min and APGAR 5th min scores were found to be significantly higher p 0.05 in the spinal anesthesia group than in the general anesthesia group. Neonatal weight, head circumference and infant height did not differ significantly between general anesthesia and spinal anesthesia groups p 0.05. Conclusion General anesthesia and spinal anesthesia applied; Bilirubin value measured among babies born by cesarean section differs in favor of spinal anesthesia. It seems that it is more beneficial to avoid systemic effective applications as much as possible. However, it is an important issue that regional anesthesia practices become more prevalent in clinical practice.

 Objective General and regional anesthesia techniques are used in cesarean section operations, which are frequently applied today. The aim of this study was to examine the effect of general anesthesia on newborn bilirubin and to compare it with the level of bilirubin in babies born with regional anesthesia. Material and Method Between March 2022 and September 2022, 154 patients over 18 years of age with term pregnancy and elective cesarean section planned without complications were randomly included in the study. Cases diagnosed with liver and biliary tract disease, systemic liver and biliary tract effective drug use, direct coombs test Dcoombs  and Covid 19  clinics were excluded. Results General anesthesia was applied to 75 48.8 of the patients included in our study, and spinal anesthesia was applied to 79 51.2 patients, who underwent cesarean section. It was determined that the first hour bilirubin and the fourth hour bilirubin values were significantly higher p 0.05 in the general anesthesia group than the spinal anesthesia group. APGAR 1st min and APGAR 5th min scores were found to be significantly higher p 0.05 in the spinal anesthesia group than in the general anesthesia group. Neonatal weight, head circumference and infant height did not differ significantly between general anesthesia and spinal anesthesia groups p 0.05. Conclusion General anesthesia and spinal anesthesia applied; Bilirubin value measured among babies born by cesarean section differs in favor of spinal anesthesia. It seems that it is more beneficial to avoid systemic effective applications as much as possible. However, it is an important issue that regional anesthesia practices become more prevalent in clinical practice.

 Objective General and regional anesthesia techniques are used in cesarean section operations, which are frequently applied today. The aim of this study was to examine the effect of general anesthesia on newborn bilirubin and to compare it with the level of bilirubin in babies born with regional anesthesia. Material and Method Between March 2022 and September 2022, 154 patients over 18 years of age with term pregnancy and elective cesarean section planned without complications were randomly included in the study. Cases diagnosed with liver and biliary tract disease, systemic liver and biliary tract effective drug use, direct coombs test Dcoombs  and Covid 19  clinics were excluded. Results General anesthesia was applied to 75 48.8 of the patients included in our study, and spinal anesthesia was applied to 79 51.2 patients, who underwent cesarean section. It was determined that the first hour bilirubin and the fourth hour bilirubin values were significantly higher p 0.05 in the general anesthesia group than the spinal anesthesia group. APGAR 1st min and APGAR 5th min scores were found to be significantly higher p 0.05 in the spinal anesthesia group than in the general anesthesia group. Neonatal weight, head circumference and infant height did not differ significantly between general anesthesia and spinal anesthesia groups p 0.05. Conclusion General anesthesia and spinal anesthesia applied; Bilirubin value measured among babies born by cesarean section differs in favor of spinal anesthesia. It seems that it is more beneficial to avoid systemic effective applications as much as possible. However, it is an important issue that regional anesthesia practices become more prevalent in clinical practice.

 Amaç Günümüzde oransal olarak artma eğilimi gösteren sezaryen operasyonlarında, genel ve rejyonel anestezi teknikleri uygulanmaktadır. Bu çalışmada; genel anestezi yönteminin yenidoğan bilurubini üzerine olan etkisini incelemek ve rejyonel anestezi yöntemi ile doğan bebeklerin bilurubin seviyesi ile karşılaştırmak amaçlanmıştır. Gereç ve Yöntem Mart 2022- Eylül 2022 tarihleri arasında,18 yaşın üzerinde term gebelik ile elektif olarak sezaryen planlanan, komplikasyonsuz 154 hasta rastgele çalışmaya dahil edilmiştir. Karaciğer ve safra yolları hastalığı tanısı alan, sistemik karaciğer ve safra yolları etkili etkili ilaç kullanımı olan, direkt coombs testi Dcoombs  ve covid  kliniği olan vakalar ekarte edilmiştir. Bulgular Çalışmamıza dahil edilen hastalardan 75i 48,8 genel anestezi yöntemi, 79una 51,2 spinal anestezi yöntemi uygulanarak sezaryen operasyonu gerçekleştirilmiştir. Genel anestezi grubunda; yenidoğanlardan transkutanöz yolla ciltten bakılan, 1.saat ve 4.saat bilurubin değeri spinal anestezi grubundan anlamlı p 0.05 olarak daha yüksek olduğu saptanmıştır. Spinal anestezi grubunda APGAR 1. dk, APGAR 5. dk skoru genel anestezi grubundan anlamlı p 0.05 olarak daha yüksek saptanmıştır. Genel anestezi ve spinal anestezi grupları arasında yenidoğan kilo, baş çevresi, bebek boyu anlamlı p 0.05 farklılık göstermemiştir. Gruplarda cinsiyet farkı gözetilmeksizin, tamamen rastgele olarak gruplar belirlenmiştir. Sonuç Genel anestezi ve spinal anestezi uygulanan; sezaryen ile doğan bebekler arasında ölçülen bilurubin değeri spinal anestezi lehine farklılık göstermektedir. Sistemik etkili uygulamalardan mümkün olduğunca kaçınmanın daha faydalı olabileceği görülmektedir. Bununla birlikte rejyonel anestezi uygulamalarının klinik pratikte daha fazla yer bulması önemli bir husus olarak karşımıza çıkmaktadır.

Makale detayları

COMPARISON OF THE EFFECTS OF ANESTHESIA METHOD APPLIED IN ELECTIVE CESAREAN SECTION ON NEONATAL BILIRUBIN LEVEL

Yazarlar:

Deniz Turan

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Anaesthesiology

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 4, pp.644-650

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001307504

pISSN:

1300-7416

Anesthesia

Cesarean section

Neonatal bilirubinAnestezi

Sezaryen

Yenidoğan bilurubini

Sayı

Makale detayları

COMPARISON OF THE EFFECTS OF ANESTHESIA METHOD APPLIED IN ELECTIVE CESAREAN SECTION ON NEONATAL BILIRUBIN LEVEL

Yazarlar: Deniz Turan

Yayıncı: Süleyman Demirel University

Ana Başlıklar: Anaesthesiology

Dergi: Medical Journal of Süleyman Demirel University Vol.30 Issue 4, pp.644-650

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001307504

pISSN: 1300-7416

Anesthesia

Cesarean section

Neonatal bilirubinAnestezi

Sezaryen

Yenidoğan bilurubini

Sayı

Yazarlar:

Deniz Turan

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Anaesthesiology

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 4, pp.644-650

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001307504

pISSN:

1300-7416