Evaluation of Regional Anesthesia Complications in Caesarean Section

Yıl 2013, Cilt: 3 Sayı: 3, 176 - 181, 01.09.2013

Semih Arıcı Serkan Karaman Serkan Dogru Mustafa Suren Tugba Karaman Hakan Tapar Ziya Kaya

Öz

Aim: We aimed to evaluate the complications of regional anesthesia techniques in caesarean operations. Material and Methods: Patients who underwent caesarean operation managed with regional anesthesia between January 2010 and January 2011 were included in this study. Demographic data, regional anesthesia method, position during approach, number of attempts, patient feelings during local anesthetic injection, dermatomal level, and complications were recorded. The results were analyzed and presented for each regional anesthesia technique. Results: A total of 425 were performed in the study period. Totally 269 caesarean sections under regional anesthesia were included in this study. Caesarean sections were performed at a rate of 1.5 % in patients below 20 years of age, 91.1 % in 20-34 years of age and 7.4 % in over the age of 35 years. Specifically, spinal anesthesia, epidural anesthesia, and combined spinal-epidural anesthesia were applied to 236, 9, and 24 patients, respectively. Spinal anesthesia was the most frequently applied regional anesthesia technique in this study. The most common sensation during local anesthetic injection was feeling of warmth at a rate of 54.6 %. Post dural puncture headache was observed at a rate of 6.3 % (n=15), and backpain 8.8 % (n=21) in the spinal anesthesia group. Neurological complications occurred in 2 patients. Discussion: The present study revealed that the complication rates of regional anesthesia techniques in our university had consistent results with the current literatures.

Anahtar Kelimeler

Anesthesia; spinal; epidural; complications; caesarean section.

Sezeryan operasyonlarında rejyonel anestezi komplikasyonlarının değerlendirilmesi

Öz

Amaç: Bu çalışmada, sezeryan operasyonlarında rejyonel anestezi komplikasyonlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 2010 ve Ocak 2011 yılları arasında rejyonel anestezi altında sezeryan operasyonu geçiren hastalar, çalışmaya dahil edildi. Demografik veriler, rejyonel anestezi metodu, uygulama pozisyonu, girişim sayısı, lokal anestezi sırasında hastanın hissettikleri, duyusal seviye ve komplikasyonlar kaydedildi. Herbir rejyonel anestezi tekniği için sonuçlar analiz edildi ve sunuldu. Bulgular: Çalışma süresi içerisinde toplam 425 sezeryan operasyonu uygulandı. Rejyonel anestezi altında gerçekleştirilen toplam 269 sezeryan operasyonu çalışmaya dahil edildi. Yirmi yaş altı %1.5 oranında, 20-34 yaş arası %91.1, ve 35 yaş üstü %7.4 hastaya sezeryan operasyonu uygulandığı saptandı. Spinal anestezi, epidural anestezi ve kombine spinal-epidural anestezi uygulanan hasta sayısı sırasıyla, 236, 9, 24 idi. Bu çalışmada en sık uygulanan rejyonel anestezi tekniği spinal anestezi idi. Lokal anestezik enjeksiyonu sırasında en sık hissedilen duyu %54.6 ile sıcaklıktı. Spinal anestezi grubunda dura ponksiyonu sonrası baş ağrısı % 6,3 ve sırt ağrısı % 8,8 oranında gözlemlendi. Nörolojik komplikasyon iki hastada görüldü. Tartışma: Bu çalışma sonucunda, üniversitemizde rejyonel anestezi komplikasyon oranlarının günümüz literatürleri ile benzer olduğu görülmüştür.

Anahtar Kelimeler

Anestezi; spinal; epidural; komplikasyonlar; sezaryen.

Kaynakça

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