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Comparison of Spinal and General Anaesthesia in Patients Undergoing Caesarean Section: A Prospective Study at a Tertiary Care Teaching Hospital

Randhir Singh, Assistant Professor, Department of Anaesthesia, Rajshree Medical Research Institute & Hospital, Bareilly, Uttar Pradesh 243501, India. , Ratan Pal Singh1 , Randhir Singh2

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Indian Journal of Anesthesia and Analgesia 5(9):p 1548-1551, September 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5918.19

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Abstract

Background: Cesarean section (CS) is one of the most common surgical procedures today. About 20-25% of all birth is by CS. Surgery and anesthetic technique employed has been shown to effect postoperative outcomes, specifically effecting the length of hospital stay. Hence; present study was planned to assess and compare the efficacy of spinal anaesthesia and general anaesthesia in patients undergoing CS.

Materials & Methods: The present study included evaluation and comparison of efficacy of spinal and general anaesthesia in patients undergoing caesarean section. A total of 30 subjects were included in the present study and were broadly divided into two study groups; group 1 and group 2 with 15 patients in each group. Group 1 included patients which underwent caesarean section under general anaesthesia and group 2 included patients which underwent caesarean section under spinal anaesthesia. All the patients underwent complete haematological and biochemical investigation before the starting of the surgical procedure. Complicate demographic details of all the patients were recorded. Presence of any postoperative complication were also evaluated and recorded. All the results were analyzed by SPSS software.

Results: A total of 30 pregnant females were included in the present study and were broadly divided into two study groups with 15 females in each group. Mean age of the patients of group 1 and group 2 was 33.5 years and 34.1 years respectively. Mean gestation weeks of patients of group 1 and group 2 were 38.5 weeks and 38.4 weeks respectively.Number of hypotensive patients observed in group 1 and group 2 after procedure were found to be 2 and 8 respectively. Significant results were obtained while comparing the total intraoperative fluid requirement and number of ephedrine requiring patients in between both the study groups.

Conclusion: In comparison to spinal anaesthesia, general anaesthesia is comparatively better for patients undergoing elective caesarean section.

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5918.19

Keywords

General Anaesthesia; Spinal Anaesthesia; Caesarean Section.

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