The Impact of Anesthesia Type on Bleeding and Blood Transfusion Requirements in High-Risk Cesarean Sections

Esma Karaarslan; Mehmet Akif Yazar; Yasin Tire; Şerife Nur Yıldırım; Nuran Akıncı Ekinci; Oğuzhan Günenc

Makale detayları

The Impact of Anesthesia Type on Bleeding and Blood Transfusion Requirements in High-Risk Cesarean Sections

Yazarlar:

Esma Karaarslan | Mehmet Akif Yazar | Yasin Tire | Şerife Nur Yıldırım | Nuran Akıncı Ekinci | Oğuzhan Günenc

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 3, pp.367-372

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001331504

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 To evaluate the impact of the chosen anesthesia type on intraoperative and postoperative blood loss and blood transfusion requirements in cesarean sections for high-risk pregnancies. This retrospective cohort study included cesarean sections performed in high-risk pregnancies at Konya City Hospital between August 8, 2020 and December 31, 2024. Patients were divided into two groups: General anesthesia GA and Neuraxial anesthesia NA. Preoperative and postoperative hemoglobin Hb and hematocrit Hct values were assessed, along with the administration of erythrocyte suspension transfusion for Hb 8 gdL, length of hospital stay, and intensive care unit ICU admission. Statistical significance was set at p0.05. Out of 14.450 cesarean sections performed during the study period, 125 cases diagnosed with high-risk pregnancy were retrospectively analyzed. Of these, 79 patients underwent surgery under GA and 46 under NA. While no differences were observed in preoperative Hb and Hct values between the groups, the GA group exhibited a significant decline in postoperative Hb 7.750.9 gdL and Hct 24.652.58 p0.001. Blood transfusion was required in 82.6 of the GA group compared to 43 in the NA group p0.001. Additionally, the median hospital stay was 2 23 days in the NA group versus 3 34 days in the GA group, and ICU admission rates were 5.1 and 23.9, respectively p0.002. In cesarean sections for high-risk pregnancies, patients receiving GA exhibited increased blood loss, higher transfusion requirements, and prolonged hospital stays compared to those receiving NA. These findings suggest that the choice of anesthesia significantly influences perioperative blood loss and transfusion needs.

 To evaluate the impact of the chosen anesthesia type on intraoperative and postoperative blood loss and blood transfusion requirements in cesarean sections for high-risk pregnancies. This retrospective cohort study included cesarean sections performed in high-risk pregnancies at Konya City Hospital between August 8, 2020 and December 31, 2024. Patients were divided into two groups: General anesthesia GA and Neuraxial anesthesia NA. Preoperative and postoperative hemoglobin Hb and hematocrit Hct values were assessed, along with the administration of erythrocyte suspension transfusion for Hb 8 gdL, length of hospital stay, and intensive care unit ICU admission. Statistical significance was set at p0.05. Out of 14.450 cesarean sections performed during the study period, 125 cases diagnosed with high-risk pregnancy were retrospectively analyzed. Of these, 79 patients underwent surgery under GA and 46 under NA. While no differences were observed in preoperative Hb and Hct values between the groups, the GA group exhibited a significant decline in postoperative Hb 7.750.9 gdL and Hct 24.652.58 p0.001. Blood transfusion was required in 82.6 of the GA group compared to 43 in the NA group p0.001. Additionally, the median hospital stay was 2 23 days in the NA group versus 3 34 days in the GA group, and ICU admission rates were 5.1 and 23.9, respectively p0.002. In cesarean sections for high-risk pregnancies, patients receiving GA exhibited increased blood loss, higher transfusion requirements, and prolonged hospital stays compared to those receiving NA. These findings suggest that the choice of anesthesia significantly influences perioperative blood loss and transfusion needs.

 To evaluate the impact of the chosen anesthesia type on intraoperative and postoperative blood loss and blood transfusion requirements in cesarean sections for high-risk pregnancies. This retrospective cohort study included cesarean sections performed in high-risk pregnancies at Konya City Hospital between August 8, 2020 and December 31, 2024. Patients were divided into two groups: General anesthesia GA and Neuraxial anesthesia NA. Preoperative and postoperative hemoglobin Hb and hematocrit Hct values were assessed, along with the administration of erythrocyte suspension transfusion for Hb 8 gdL, length of hospital stay, and intensive care unit ICU admission. Statistical significance was set at p0.05. Out of 14.450 cesarean sections performed during the study period, 125 cases diagnosed with high-risk pregnancy were retrospectively analyzed. Of these, 79 patients underwent surgery under GA and 46 under NA. While no differences were observed in preoperative Hb and Hct values between the groups, the GA group exhibited a significant decline in postoperative Hb 7.750.9 gdL and Hct 24.652.58 p0.001. Blood transfusion was required in 82.6 of the GA group compared to 43 in the NA group p0.001. Additionally, the median hospital stay was 2 23 days in the NA group versus 3 34 days in the GA group, and ICU admission rates were 5.1 and 23.9, respectively p0.002. In cesarean sections for high-risk pregnancies, patients receiving GA exhibited increased blood loss, higher transfusion requirements, and prolonged hospital stays compared to those receiving NA. These findings suggest that the choice of anesthesia significantly influences perioperative blood loss and transfusion needs.

 Yüksek riskli gebeliklerde gerçekleştirilen sezaryen operasyonlarında tercih edilen anestezi tipinin intraoperatif ve postoperatif kanama ile kan transfüzyonu ihtiyacı üzerindeki etkisini değerlendirmeyi amaçlamaktadır. Bu retrospektif kohort çalışma Konya Şehir Hastanesinde 08 Ağustos 2020-31 Aralık 2024 tarihleri arasında yüksek riskli gebelerde gerçekleşen sezaryen operasyonlarını değerlendirme altına almıştır. Çalışmaya dahil edilen hastalar, Genel Anestezi GA Grubu ve Nöroaksiyel Anestezi NA Grubu olarak ikiye ayrılmıştır. Preoperatif ve postoperatif hemoglobin Hb ile hematokrit Hct değerleri, Hb 8 gdL durumunda uygulanan eritrosit süspansiyonu kan transfüzyonu, hastanede kalış süresi ve yoğun bakım ünitesi YBÜ ihtiyacı değerlendirilmiştir. İstatistiksel analizde p0.05 anlamlı kabul edilmiştir. 08 Ağustos 2020 - 31 Aralık 2024 tarihleri arasında yapılan 14.450 sezaryen operasyonundan, yüksek riskli gebelik tanısı konulan 125 vaka retrospektif olarak incelenmiştir. Hastalar GA n79 veya NA n46 altında ameliyat geçirmiştir. Preoperatif Hb ve Hct değerlerinde gruplar arasında fark bulunmazken, postoperatif dönemde GA grubunda Hb 7.750.9 gdL ve Hct 24.652.58 değerlerinde anlamlı düşüş saptandı p0.001. GA grubunda kan replasmanı ihtiyacı 82.6 iken, NA grubunda 43 olarak belirlendi p0.001. Ayrıca, NA hastalarında hastanede kalış süresi 2 23 gün, GAda ise 3 34 gün; YBÜ yatış oranları sırasıyla 5.1 ve 23.9 olarak tespit edildi p0.002. Yüksek riskli gebeliklerde yapılan sezaryen operasyonlarında, GA uygulanan hastalarda NAya göre artan kan kaybı, daha yüksek transfüzyon ihtiyacı ve uzamış hastanede kalış süresi gözlenmiştir. Bu sonuçlar, anestezi seçiminin perioperatif kan kaybı ve transfüzyon gereksinimi üzerinde belirleyici etkisi olduğunu ortaya koymaktadır.

Makale detayları

The Impact of Anesthesia Type on Bleeding and Blood Transfusion Requirements in High-Risk Cesarean Sections

Yazarlar:

Esma Karaarslan | Mehmet Akif Yazar | Yasin Tire | Şerife Nur Yıldırım | Nuran Akıncı Ekinci | Oğuzhan Günenc

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 3, pp.367-372

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001331504

pISSN:

1305-4953

High-risk pregnancy

cesarean section

spinal anesthesia

general anesthesia

blood loss

transfusion.Yüksek riskli gebelik

sezaryen doğum

spinal anestezi

genel anestezi

kan kaybı

transfüzyon.

Sayı

Makale detayları

Yazarlar: Esma Karaarslan | Mehmet Akif Yazar | Yasin Tire | Şerife Nur Yıldırım | Nuran Akıncı Ekinci | Oğuzhan Günenc

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Anesteziyoloji

Dergi: Osmangazi Tıp Dergisi Vol.47 Issue 3, pp.367-372

Belge Tipi: Makale

Yayın Tarihi: 2/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001331504

pISSN: 1305-4953

Sayı

Yazarlar:

Esma Karaarslan | Mehmet Akif Yazar | Yasin Tire | Şerife Nur Yıldırım | Nuran Akıncı Ekinci | Oğuzhan Günenc

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 3, pp.367-372

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001331504

pISSN:

1305-4953