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A COMPARISION OF GENERAL AND REGIONAL ANAESTHESIA METHODS IN PATIENTS WITH PREECLAMPSIA
Author(s): ,
Özer, A.
Affiliations:
Kahramanmaras Sutcu Imam University - Faculty of Medicine, OBSTETRICS AND GYNECOLOGY, Kahramanmaras, Turkey
,
Urfalioglu, A.*
Affiliations:
Kahramanmaras Sutcu Imam University - Faculty of Medicine, anaesthesiology, Kahramanmaras, Turkey
,
Kıran, H.
Affiliations:
Kahramanmaras Sutcu Imam University - Faculty of Medicine, OBSTETRICS AND GYNECOLOGY, Kahramanmaras, Turkey
,
Tok, A.
Affiliations:
Kahramanmaras Sutcu Imam University - Faculty of Medicine, OBSTETRICS AND GYNECOLOGY, Kahramanmaras, Turkey
,
Kostu, B.
Affiliations:
Kahramanmaras Sutcu Imam University - Faculty of Medicine, OBSTETRICS AND GYNECOLOGY, Kahramanmaras, Turkey
Arslan, G.
Affiliations:
Kahramanmaras Sutcu Imam University - Faculty of Medicine, OBSTETRICS AND GYNECOLOGY, Kahramanmaras, Turkey
ESRA Academy. Özer A. Sep 13, 2017; 190806
Alev Özer
Alev Özer

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Abstract
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Background and Aims:

Preeclampsia is a hypertensive disorder specific to pregnancy. The type of anaesthesia method is one of the important parameters influencing the maternal and fetal outcomes. 
It was aimed to compare regional and general anaesthesia methods regarding the clinical outcomes and complications.

Methods:

A total of 86 preeclampsia patients who underwent cesarean section for various obstetrical indications were categorised into 2 groups according to receipt of regional (Group 1, n=66) or general anaeshesia (Group 2, n=20). Data regarding the demographic and clinical characteristics were obtained from the medical records. Patients were contacted by telephone postoperatively and asked to give satisfaction scores for the anaesthesia method, 1 point for the lowest satisfation, 10 points for the highest satisfaction.

Results:

The Groups 1 and 2 were statistically similar regarding the mean ages, the mean gravida and parity, the mean serum alanin-aminotransferase and aspartate-aminotransferase levels and the mean satisfaction scores. In Group 2, the mean gestational age at birth, mean birthweight and mean minute-1 APGAR scores were lower than in Group 1 (p=0.003, p=0.003, p=0.012 respectively). The rate of patients with severe preeclampsia, with a platelet count<100.000/μL and with a need for follow-up in intensive-care-unit were higher in Group 2 than in Group1 (p=0.039, p=0.024, p=0.001 respectively). The rate of the need for intraoperative inothropic agent administration was similar between the groups.

Conclusions:

It was determined that in patients with severe preeclampsia and with low platelet count, generel anaesthesia was preferred more than regional anaesthesia. No major complications related to anaesthesia developed in any of the groups.

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