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Anesthetic Management of Pregnant Patients with Appendectomy

Year 2013, Volume: 6 Issue: 2, 92 - 95, 01.06.2013

Abstract

Our goal was to present our anesthesia procedure of pre-diagnosis and laparotomy on pregnant patients with acute appendicitis. After approval Ethics Committee, 77 pregnant patients with a diagnosis of acute appendicitis were evaluated. Patients were separated into two groups: group G (general anesthesia) and Group S (spinal anesthesia), according to the method of anesthesia applied. The patients' age, gestational age, method of anesthesia applied, duration of hospital stay, duration of anesthesia, number of pregnancies, leukocyte count and complications suffered were compared between the groups. After the surgery, with regular and adequate spontaneous respiration, protective airway reflexes present, and with vital parameters normal and within clinical limits, the patients were sent for internal evaluations. The demographic information of the cases is shown in table 1. In comparing the groups, the hospital stay duration of group S was significantly short. Looking at the incisions made for the surgical procedures, in group S relative to the pararectal incision average, the McBurney incision average was greater. In group G, the number of perforated appendicitis cases was higher. The anesthesia duration was short to a significant degree in group S. In order to protect the mother and baby from the negative effects of general anesthesia, as well as to lower costs by decreasing the duration of stay in the hospital, the spinal anesthesia technique could be a preferable procedure for selected pregnant acute appendicitis patients. G: general anesthesia, S: spinal anesthesia. Clinical article (J Int Dent Med Res 2013; 6: (2), pp. 92-95)

References

  • Zhang Y, Zhao YY, Qiao J, Ye RH. Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy. Chin Med J 2009; 122: 521-4.
  • Kuczkowski KM. Nonobstetric surgery in the parturient: anesthetic considerations. J Clin Anesth 2006; 18: 5-7. http://dx.doi.org/10.1016/j.jclinane.2005.11.003 PMid:16517324. Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anestesiol 2007; 73: 235
  • Mourad J, Elliott JP, Erickson L, Lisboa L. Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. Am J Obstet Gynecol 2000; 182: 1027-9.
  • Carvalho B. Non-obstetric surgery during pregnancy. IARS Review Course Lectures 2006; 23-30.
  • Ni Mhuireachtaigh R, O’Gorman D. A. Anaesthesia in pregnant patients for nonobstetric surgery. Journal of Clinical J Clin Anesth 2006; 18: 60-6.
  • Baden JM, Rice SA. Metabolism and toxicity of inhaled anesthetics. 5th edition. Miller RD Philadelphia Churchill Livingstone 2000, 147-73.
  • Goodman S. Anesthesia for nonobstetric surgery in the pregnant patient. Semin Perinatol 2002; 26: 136-45.
  • Yağcı MA, Sezer A, Hatipoğlu AR, Coşkun I, Hoşcoşkun Z. Acute appendicitis in pregnancy. Dicle Medical Journal 2010; 37: 134Jung SJ, Lee do K, Kim JH, Kong PS, Kim KH, Bae SW. Appendicitis during Pregnancy: The Clinical Experience of a Secondary Hospital. J Korean Soc Coloproctol 2012; 28: 152-59.
  • Pastore PA, Loomis DM, Sauret J. Appendicitis in pregnancy. J Am Board Fam Med 2006; 19: 621-26.

Anesthetic Management of Pregnant Patients with Appendectomy

Year 2013, Volume: 6 Issue: 2, 92 - 95, 01.06.2013

Abstract

References

  • Zhang Y, Zhao YY, Qiao J, Ye RH. Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy. Chin Med J 2009; 122: 521-4.
  • Kuczkowski KM. Nonobstetric surgery in the parturient: anesthetic considerations. J Clin Anesth 2006; 18: 5-7. http://dx.doi.org/10.1016/j.jclinane.2005.11.003 PMid:16517324. Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anestesiol 2007; 73: 235
  • Mourad J, Elliott JP, Erickson L, Lisboa L. Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. Am J Obstet Gynecol 2000; 182: 1027-9.
  • Carvalho B. Non-obstetric surgery during pregnancy. IARS Review Course Lectures 2006; 23-30.
  • Ni Mhuireachtaigh R, O’Gorman D. A. Anaesthesia in pregnant patients for nonobstetric surgery. Journal of Clinical J Clin Anesth 2006; 18: 60-6.
  • Baden JM, Rice SA. Metabolism and toxicity of inhaled anesthetics. 5th edition. Miller RD Philadelphia Churchill Livingstone 2000, 147-73.
  • Goodman S. Anesthesia for nonobstetric surgery in the pregnant patient. Semin Perinatol 2002; 26: 136-45.
  • Yağcı MA, Sezer A, Hatipoğlu AR, Coşkun I, Hoşcoşkun Z. Acute appendicitis in pregnancy. Dicle Medical Journal 2010; 37: 134Jung SJ, Lee do K, Kim JH, Kong PS, Kim KH, Bae SW. Appendicitis during Pregnancy: The Clinical Experience of a Secondary Hospital. J Korean Soc Coloproctol 2012; 28: 152-59.
  • Pastore PA, Loomis DM, Sauret J. Appendicitis in pregnancy. J Am Board Fam Med 2006; 19: 621-26.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Feyzi Celik This is me

Abdullah Oguz This is me

Zeynep Baysal Yildirim This is me

Abdulmenap Guzel This is me

Erdal Dogan This is me

Taner Ciftci This is me

İlker Onguc Aycan This is me

Publication Date June 1, 2013
Published in Issue Year 2013 Volume: 6 Issue: 2

Cite

APA Celik, F., Oguz, A., Yildirim, Z. B., Guzel, A., et al. (2013). Anesthetic Management of Pregnant Patients with Appendectomy. Journal Of International Dental And Medical Research, 6(2), 92-95.
AMA Celik F, Oguz A, Yildirim ZB, Guzel A, Dogan E, Ciftci T, Aycan İO. Anesthetic Management of Pregnant Patients with Appendectomy. JIDMR. June 2013;6(2):92-95.
Chicago Celik, Feyzi, Abdullah Oguz, Zeynep Baysal Yildirim, Abdulmenap Guzel, Erdal Dogan, Taner Ciftci, and İlker Onguc Aycan. “Anesthetic Management of Pregnant Patients With Appendectomy”. Journal Of International Dental And Medical Research 6, no. 2 (June 2013): 92-95.
EndNote Celik F, Oguz A, Yildirim ZB, Guzel A, Dogan E, Ciftci T, Aycan İO (June 1, 2013) Anesthetic Management of Pregnant Patients with Appendectomy. Journal Of International Dental And Medical Research 6 2 92–95.
IEEE F. Celik, A. Oguz, Z. B. Yildirim, A. Guzel, E. Dogan, T. Ciftci, and İ. O. Aycan, “Anesthetic Management of Pregnant Patients with Appendectomy”, JIDMR, vol. 6, no. 2, pp. 92–95, 2013.
ISNAD Celik, Feyzi et al. “Anesthetic Management of Pregnant Patients With Appendectomy”. Journal Of International Dental And Medical Research 6/2 (June 2013), 92-95.
JAMA Celik F, Oguz A, Yildirim ZB, Guzel A, Dogan E, Ciftci T, Aycan İO. Anesthetic Management of Pregnant Patients with Appendectomy. JIDMR. 2013;6:92–95.
MLA Celik, Feyzi et al. “Anesthetic Management of Pregnant Patients With Appendectomy”. Journal Of International Dental And Medical Research, vol. 6, no. 2, 2013, pp. 92-95.
Vancouver Celik F, Oguz A, Yildirim ZB, Guzel A, Dogan E, Ciftci T, Aycan İO. Anesthetic Management of Pregnant Patients with Appendectomy. JIDMR. 2013;6(2):92-5.