COMPARİSON OF THE EFFECTS OF ANESTHESİA TECHNİQUE AND MATERNAL WARMİNG ON NEONATAL BODY TEMPERATURE İN CESAREAN SECTİON OPERATİONS: A RETROSPECTİVE STUDY

Kamuran Uluç; Ayşe Surhan Cinar; Hacer Şebnem Türk; Elif Filiz Gökdemir

Makale detayları

COMPARİSON OF THE EFFECTS OF ANESTHESİA TECHNİQUE AND MATERNAL WARMİNG ON NEONATAL BODY TEMPERATURE İN CESAREAN SECTİON OPERATİONS: A RETROSPECTİVE STUDY

Yazarlar:

Kamuran Uluç | Ayşe Surhan Cinar | Hacer Şebnem Türk | Elif Filiz Gökdemir

Yayıncı:

Kocaeli University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Acta Medica Nicomedia Vol.7 Issue 2, pp.189-195

Belge Tipi:

Makale

Yayın Tarihi:

6/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323689

pISSN:

2717-8994

Anahtar kelimeler:

Özet:

 Objective: Both general and spinal anesthesia are preferred methods in cesarean section operations. Inadequate thermoregulation mechanisms of newborns and changes in maternal body temperature caused by anesthetic approaches adversely affect the newborn. Our study aimed to retrospectively compare the effects of different anesthetic techniques and maternal warming on neonatal body temperature in cesarean section operations. Methods: Our study was performed retrospectively on the data of 112 American Society of Anesthesiologists ASA I-II-III patients who underwent cesarean section after ethics committee approval. General anesthesia was defined as Group G1 n:28 heated with a hot air blower system and Group G2 n:28 without heating. Spinal anesthesia was defined as Group S1 n:28 heated with a hot air blower system and Group S2 n:28 without heating. Demographic data, number, and week of pregnancy were recorded. Apical heart peak AHP, non-invasive blood pressure BP systolic blood pressure SBP, diastolic blood pressure DBP, peripheral capillary oxygen saturation SpO2, and body temperatures at baseline, at 5, 15, and 20 min and at the time the baby left the womb were recorded. Newborns were recorded at 0 and 1 minute. APGAR scores of the newborn at 1 and 5 minutes were recorded. Patients with chills, shivering, nausea, and vomiting were recorded in all groups. Results: Infant temperature and APGAR scores were significantly higher in the groups receiving spinal anesthesia Group S1S2 than in the groups receiving general anesthesia Group G1G2, respectively p0.05. Maternal temperature averages were statistically significantly higher in Groups G1 and S1 than in Groups G2 and S2, respectively p0.05. Conclusions: Maternal warming and spinal anesthesia increase maternal and neonatal body temperature and APGAR scores. Therefore, maternal warming and spinal anesthesia techniques are recommended for pregnant women.

 Objective: Both general and spinal anesthesia are preferred methods in cesarean section operations. Inadequate thermoregulation mechanisms of newborns and changes in maternal body temperature caused by anesthetic approaches adversely affect the newborn. Our study aimed to retrospectively compare the effects of different anesthetic techniques and maternal warming on neonatal body temperature in cesarean section operations. Methods: Our study was performed retrospectively on the data of 112 American Society of Anesthesiologists ASA I-II-III patients who underwent cesarean section after ethics committee approval. General anesthesia was defined as Group G1 n:28 heated with a hot air blower system and Group G2 n:28 without heating. Spinal anesthesia was defined as Group S1 n:28 heated with a hot air blower system and Group S2 n:28 without heating. Demographic data, number, and week of pregnancy were recorded. Apical heart peak AHP, non-invasive blood pressure BP systolic blood pressure SBP, diastolic blood pressure DBP, peripheral capillary oxygen saturation SpO2, and body temperatures at baseline, at 5, 15, and 20 min and at the time the baby left the womb were recorded. Newborns were recorded at 0 and 1 minute. APGAR scores of the newborn at 1 and 5 minutes were recorded. Patients with chills, shivering, nausea, and vomiting were recorded in all groups. Results: Infant temperature and APGAR scores were significantly higher in the groups receiving spinal anesthesia Group S1S2 than in the groups receiving general anesthesia Group G1G2, respectively p0.05. Maternal temperature averages were statistically significantly higher in Groups G1 and S1 than in Groups G2 and S2, respectively p0.05. Conclusions: Maternal warming and spinal anesthesia increase maternal and neonatal body temperature and APGAR scores. Therefore, maternal warming and spinal anesthesia techniques are recommended for pregnant women.

 Objective: Both general and spinal anesthesia are preferred methods in cesarean section operations. Inadequate thermoregulation mechanisms of newborns and changes in maternal body temperature caused by anesthetic approaches adversely affect the newborn. Our study aimed to retrospectively compare the effects of different anesthetic techniques and maternal warming on neonatal body temperature in cesarean section operations. Methods: Our study was performed retrospectively on the data of 112 American Society of Anesthesiologists ASA I-II-III patients who underwent cesarean section after ethics committee approval. General anesthesia was defined as Group G1 n:28 heated with a hot air blower system and Group G2 n:28 without heating. Spinal anesthesia was defined as Group S1 n:28 heated with a hot air blower system and Group S2 n:28 without heating. Demographic data, number, and week of pregnancy were recorded. Apical heart peak AHP, non-invasive blood pressure BP systolic blood pressure SBP, diastolic blood pressure DBP, peripheral capillary oxygen saturation SpO2, and body temperatures at baseline, at 5, 15, and 20 min and at the time the baby left the womb were recorded. Newborns were recorded at 0 and 1 minute. APGAR scores of the newborn at 1 and 5 minutes were recorded. Patients with chills, shivering, nausea, and vomiting were recorded in all groups. Results: Infant temperature and APGAR scores were significantly higher in the groups receiving spinal anesthesia Group S1S2 than in the groups receiving general anesthesia Group G1G2, respectively p0.05. Maternal temperature averages were statistically significantly higher in Groups G1 and S1 than in Groups G2 and S2, respectively p0.05. Conclusions: Maternal warming and spinal anesthesia increase maternal and neonatal body temperature and APGAR scores. Therefore, maternal warming and spinal anesthesia techniques are recommended for pregnant women.

 Amaç: Sezaryen operasyonlarında genel ya da spinal anestezi uygulamasının her ikisi de tercih edilen yöntemlerdir. Yenidoğanların termoregülasyon mekanizmalarının yetersizliği ve anestezik yaklaşımların maternal vücut ısısında oluşturduğu değişimler yenidoğanı olumsuz etkilemektedir. Çalışmamızın amacı; sezaryen operasyonlarında uygulanan farklı anestezi teknikleri ve maternal ısıtmanın yenidoğan vücut sıcaklığına etkilerini retrospektif olarak karşılaştırmaktır. Yöntem: Çalışmamız etik kurul onayı alındıktan sonra sezeryan operasyonu geçiren Amerikan Anesteziyoloji Derneğinin fiziksel durum sınıflaması ASA I-II-III olan 112 hastanın verileri üzerinden retrospektif olarak yapıldı. Genel anestezi uygulanan sıcak hava üflemeli sistem ile ısıtılan Grup G1 n:28, ısıtma uygulanmayan Grup G2 n:28 olarak tanımlandı. Spinal anestezi uygulanan sıcak hava üflemeli sitem ile ısıtılan Grup S1 n:28, ısıtma uygulanmayan Grup S2 n:28 olarak tanımlandı. Demografik veriler, gebelik sayısı ve haftası kaydedildi. Hastaların kalp tepe atımları KTA, non-invaziv kan basıncı sistolik kan basıncı, diyastolik kan basıncı, periferik oksijen saturasyonu SpO2 ve vücut sıcaklıklarının başlangıç, 5. ,15. , 20. dk ve bebeğin anne karnından çıktığı andaki değerleri kayıt edildi. Yenidoğanın 0. dk ve 1. dakikada kaydedildi. Yenidoğanın 1. ve 5. dakikadaki APGAR skorları kaydedildi. Tüm gruplarda üşüme, titreme, bulantı, kusma görülen hastalar kaydedildi. Bulgular: Bebek sıcaklığı ve APGAR skorları spinal anestezi yapılan Grup S1S2 gruplarda genel anestezi alan Grup G1G2 gruplardan sırasıyla anlamlı yüksek bulundu p0,05. Anne sıcaklık ortalamları Grup G1 ve S1 de sırasıyla G2 ve S2 istatiksel olarak anlamlı yüksek bulundu p0,05. Sonuç: Maternal ısıtma uygulaması ve spinal anestezi anne ve yenidoğan vücut sıcaklığını ve yenidoğanın APGAR skorunu arttırmaktadır. Bu nedenle gebelerde maternal ısıtma ve spinal anestezi tekniği tercih edilmesi önerilir.

Makale detayları

COMPARİSON OF THE EFFECTS OF ANESTHESİA TECHNİQUE AND MATERNAL WARMİNG ON NEONATAL BODY TEMPERATURE İN CESAREAN SECTİON OPERATİONS: A RETROSPECTİVE STUDY

Yazarlar:

Kamuran Uluç | Ayşe Surhan Cinar | Hacer Şebnem Türk | Elif Filiz Gökdemir

Yayıncı:

Kocaeli University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Acta Medica Nicomedia Vol.7 Issue 2, pp.189-195

Belge Tipi:

Makale

Yayın Tarihi:

6/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323689

pISSN:

2717-8994

Neonatal hypothermia

cesarean section

general anesthesia

spinal anesthesia

maternal warming

APGAR scoreYenidoğan hipotermisi

sezeryan

genel anestezi

spinal anestezi

maternal ısıtma

APGAR skoru

Sayı

Makale detayları

Yazarlar: Kamuran Uluç | Ayşe Surhan Cinar | Hacer Şebnem Türk | Elif Filiz Gökdemir

Yayıncı: Kocaeli University

Ana Başlıklar: Anesteziyoloji

Dergi: Acta Medica Nicomedia Vol.7 Issue 2, pp.189-195

Belge Tipi: Makale

Yayın Tarihi: 6/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001323689

pISSN: 2717-8994

Sayı

Yazarlar:

Kamuran Uluç | Ayşe Surhan Cinar | Hacer Şebnem Türk | Elif Filiz Gökdemir

Yayıncı:

Kocaeli University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Acta Medica Nicomedia Vol.7 Issue 2, pp.189-195

Belge Tipi:

Makale

Yayın Tarihi:

6/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323689

pISSN:

2717-8994