Document Detail


General anaesthesia versus epidural anaesthesia for primary caesarean section--a comparative study.
MedLine Citation:
PMID:  1735394     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Forty-seven healthy parturients undergoing elective Caesarean section were randomly allocated to either general anaesthesia (n = 24) or epidural anaesthesia (n = 23) under standardized anaesthetic and surgical conditions. Seven women of the epidural group required additional systemic analgesia or sedation following delivery of the neonate. Nine of 24 newborns obtained 1-min Apgar scores below 7 after general anaesthesia compared to only 3/23 after epidural anaesthesia. The time period to establish normal colour in the babies was 2.2 min after epidural and 4.9 min after general anaesthesia. Three of the 24 general-anaesthesia newborns demonstrated a tendency to hypotonia compared to only one in the epidural group. Twenty-four hours and 7 days after delivery all infants of both groups were completely normal. At the time of delivery maternal PO2 was higher in the general anaesthesia compared to the epidural group, due to higher inspired oxygen concentrations. Comparable results were obtained in umbilical PO2 venous values; lower pH values, however, were observed in the umbilical artery after general anaesthesia. There were no significant differences in the glucose levels between the groups. A significant correlation was established between uterine incision-delivery interval and 1-min neonatal Apgar scores in the general-anaesthesia group, but not in the epidural group. Our investigation did not show either the incision-delivery interval or the start of operation-delivery interval to play a role in neonatal outcome. Epidural anaesthesia is superior to general anaesthesia in Caesarean section under normal conditions with regard to neonatal outcome. Whether this is also true for critical conditions cannot be concluded from this study.
Authors:
W Dick; E Traub; H Kraus; U Töllner; R Burghard; J Muck
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  9     ISSN:  0265-0215     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-03-12     Completed Date:  1992-03-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, University Hospital of Mainz, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, Epidural*
Anesthesia, Inhalation*
Anesthesia, Obstetrical*
Apgar Score
Bupivacaine
Cesarean Section*
Female
Halothane
Humans
Infant, Newborn
Nitrous Oxide
Pregnancy
Chemical
Reg. No./Substance:
10024-97-2/Nitrous Oxide; 151-67-7/Halothane; 2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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