Comparison of the outcomes of spinal and general anesthesia for cesarean section in pregnant women with COVID-19
dc.contributor.author | Aydin, N. | |
dc.contributor.author | Esen, O. | |
dc.contributor.author | Tüten, N. | |
dc.date.accessioned | 2024-05-19T14:33:36Z | |
dc.date.available | 2024-05-19T14:33:36Z | |
dc.date.issued | 2024 | |
dc.department | İstinye Üniversitesi | en_US |
dc.description.abstract | We aimed to examine the efficacy and safety of spinal or general anesthesia for cesarean section (C/S) delivery in parturient with coronavirus illness (COVID-19). We carried out a retrospective cohort in our tertiary care centre's anesthesiology and reanimation department. We gathered the data from the medical files of 108 pregnant women (average age: 33.44±12.65 years) with COVID-19 who underwent cesarean section (C/S) with either general (Group I, n=30) or spinal anesthesia (Group II, n=78). We compared preoperative, intraoperative, postoperative respiratory, cardiac, hematological, and biochemical indicators between spinal and general anesthesia groups. Patients in Group I were significantly older (p<0.001), had longer APTT (p=0.015), PT (p=0.005), INR (p=0.003), higher levels of AST (p=0.012), CK (p=0.001), CRP (p<0.001), as well as longer duration of ICU stay (p<0.001), and hospitalization (p<0.001). Group II had higher preoperative levels of troponin T (p=0.001). In Group I, the levels of procalcitonin (p=0.002), lactate (p<0.001), AST (p<0.010), ALT (p=0.001), CRP (p<0.001), and total bilirubin (p<0.001) were significantly higher than Group II. Group II displayed increased levels of white blood cell count (p=0.023), CK (p=0.047), and LDH (p=0.001). Our data demonstrated that the selection of the mode of anesthesia must provide safe, patient-centered care and safeguard every member of the obstetric team from COVID-19 infection. During planning for cesarean section (C/S), certain care and special precautions should be employed, and the type of anesthesia must be selected on an individualized basis. © 2024 Ondokuz Mayis Universitesi. All rights reserved. | en_US |
dc.identifier.doi | 10.52142/omujecm.41.1.4 | |
dc.identifier.endpage | 27 | en_US |
dc.identifier.issn | 1309-4483 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.scopus | 2-s2.0-85189533832 | en_US |
dc.identifier.scopusquality | N/A | en_US |
dc.identifier.startpage | 20 | en_US |
dc.identifier.uri | https://doi.org/10.52142/omujecm.41.1.4 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12713/4283 | |
dc.identifier.volume | 41 | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Ondokuz Mayis Universitesi | en_US |
dc.relation.ispartof | Journal of Experimental and Clinical Medicine (Turkey) | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.snmz | 20240519_ka | en_US |
dc.subject | Cesarean Section | en_US |
dc.subject | Covıd-19 | en_US |
dc.subject | General Anesthesia | en_US |
dc.subject | Pregnancy | en_US |
dc.subject | Spinal Anesthesia | en_US |
dc.title | Comparison of the outcomes of spinal and general anesthesia for cesarean section in pregnant women with COVID-19 | en_US |
dc.type | Article | en_US |