Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients
Background: Preeclampsia poses a high challenge during anesthesia. Both spinal anesthesia (SA) and general anesthesia (GA) are commonly used for the operative management of severe preeclampsia. The study aimed to assess feto-maternal outcomes among severely preeclamptic parturients scheduled for em...
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| Format: | Article |
| Language: | English |
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Knowledge E
2024-12-01
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| Series: | Sudan Journal of Medical Sciences |
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| Online Access: | https://knepublishing.com/index.php/SJMS/article/view/12250 |
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| author | Omer Abdalbagi Mohamed Elawad Omayma Hassan Elamin Areeg Izzeldin Ahmed Yousif Gamal Abdalla Mohamed Ejaimi |
| author_facet | Omer Abdalbagi Mohamed Elawad Omayma Hassan Elamin Areeg Izzeldin Ahmed Yousif Gamal Abdalla Mohamed Ejaimi |
| author_sort | Omer Abdalbagi Mohamed Elawad |
| collection | DOAJ |
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Background: Preeclampsia poses a high challenge during anesthesia. Both spinal anesthesia (SA) and general anesthesia (GA) are commonly used for the operative management of severe preeclampsia. The study aimed to assess feto-maternal outcomes among severely preeclamptic parturients scheduled for emergency cesarean section (C/S) delivery under GA or SA.
Methods: A total of 80 parturients were enrolled into two equal groups, one group received SA and the other GA. Vital parameters were recorded before starting and during the procedure. The Chi-square test was used for analysis. A P-value of ≤0.05 was considered significant.
Results: Both groups were similar in age, weight, parity, gestational age, and duration of surgery. An intraoperative need for vasopressors was higher in anesthesia (P-value 0.013). Significant intraoperative decreases in blood pressure were observed in SA. The rate of intensive care unit (ICU) admission was higher in GA (11 vs 4 patients, P-value 0.0463).
Conclusion: Assuming no contraindication, SA is the first choice for cesarean section delivery in a severely preeclamptic parturient.
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| format | Article |
| id | doaj-art-fa04c638363b471497c19b1090266619 |
| institution | Kabale University |
| issn | 1858-5051 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Sudan Journal of Medical Sciences |
| spelling | doaj-art-fa04c638363b471497c19b10902666192025-01-21T05:40:20ZengKnowledge ESudan Journal of Medical Sciences1858-50512024-12-0119410.18502/sjms.v19i4.12250Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic ParturientsOmer Abdalbagi Mohamed Elawad0Omayma Hassan Elamin1Areeg Izzeldin Ahmed Yousif2Gamal Abdalla Mohamed Ejaimi3Department of Anesthesia and Intensive Care, Wad Madani Teaching Hospital, Wad Madani, SudanDepartment of Anesthesia and Intensive Care, University of Medical Science and Technology (UMST), Khartoum, SudanDepartment of Anesthesia and Intensive Care, Ahmed Gasim Hospital Renal Transplant Center, Khartoum, SudanDepartment of Anesthesia and Intensive Care, Taiba Hospital, Kuwait Background: Preeclampsia poses a high challenge during anesthesia. Both spinal anesthesia (SA) and general anesthesia (GA) are commonly used for the operative management of severe preeclampsia. The study aimed to assess feto-maternal outcomes among severely preeclamptic parturients scheduled for emergency cesarean section (C/S) delivery under GA or SA. Methods: A total of 80 parturients were enrolled into two equal groups, one group received SA and the other GA. Vital parameters were recorded before starting and during the procedure. The Chi-square test was used for analysis. A P-value of ≤0.05 was considered significant. Results: Both groups were similar in age, weight, parity, gestational age, and duration of surgery. An intraoperative need for vasopressors was higher in anesthesia (P-value 0.013). Significant intraoperative decreases in blood pressure were observed in SA. The rate of intensive care unit (ICU) admission was higher in GA (11 vs 4 patients, P-value 0.0463). Conclusion: Assuming no contraindication, SA is the first choice for cesarean section delivery in a severely preeclamptic parturient. https://knepublishing.com/index.php/SJMS/article/view/12250anesthesiacesarean sectionpregnancy hypertensive disorderssevere preeclampsia |
| spellingShingle | Omer Abdalbagi Mohamed Elawad Omayma Hassan Elamin Areeg Izzeldin Ahmed Yousif Gamal Abdalla Mohamed Ejaimi Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients Sudan Journal of Medical Sciences anesthesia cesarean section pregnancy hypertensive disorders severe preeclampsia |
| title | Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients |
| title_full | Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients |
| title_fullStr | Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients |
| title_full_unstemmed | Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients |
| title_short | Comparing General versus Spinal Anesthesia for Cesarean Section in a Severely Pre-eclamptic Parturients |
| title_sort | comparing general versus spinal anesthesia for cesarean section in a severely pre eclamptic parturients |
| topic | anesthesia cesarean section pregnancy hypertensive disorders severe preeclampsia |
| url | https://knepublishing.com/index.php/SJMS/article/view/12250 |
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