Does the Mode of Anesthesia Affect the Feto-maternal Outcome in Category-1 Caesarean Section: A Prospective Non-randomized Study Comparing Spinal Versus General Anesthesia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia; Adverse Effect
- Sponsor
- Benha University
- Enrollment
- 74
- Locations
- 1
- Primary Endpoint
- APGAR score
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Spinal anesthesia (SA) has become the standard technique in elective cesarean section (CS) as it results in less maternal and neonatal morbidity than general anesthesia (GA) (Grade-A recommendation, NICE). For women requiring emergency CS, rapid sequence general anesthesia (RSGA) is commonly used because this technique is faster to perform than SA. Though several randomized trials have compared the maternal and fetal outcome between these two anesthetic techniques, the studies with respect to category 1 CS (emergent conditions that hold immediate threat to life of the woman or fetus) are limited.
Detailed Description
Full term pregnant females will be included in this study. They will be allocated into two groups: (Group G): will receive rapid sequence general anesthesia, and (Group S): will receive spinal anesthesia. After preoperative assessment and investigations by the attending anesthesiologist, the decision of the anesthetic approach will be decided by the attending anesthesiologist according to indications for CS. Before induction of anesthesia intravenous (IV) ranitidine 50 mg will be administered after establishing an IV access. On the operating table, vital signs will be monitored for all parturients throughout the surgery according to the standard departmental protocol. fetal well being will be assessed after delivery by using 1 minute and 5 min APGAR score and umbilical cord PH . in addition to maternal vital signs intra-operative then follow up any complications that may occur to the mother post-operative.
Investigators
Samar Rafik Mohamed Amin
lecturer of anesthesia and surgical ICU
Benha University
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
APGAR score
Time Frame: 5 minutes after delivery
Apgar score is a method for assessment of neonatal well-being after birth (0-3: severely depressed, 4-6: moderately depressed, 7-10: excellent condition)
Secondary Outcomes
- Neonatal ICU admission(from delivery of the baby up to 24 hour postoperative)
- Length of hospital stay(up to 1 month)
- decision-to-delivery interval (DDI)(from decision to operate till delivery of the baby)
- Umbilical cord PH(immediately after delivery)
- Occurrence of maternal complications postoperative(from recovery from anesthesia up to 24 hours postoperative)