Yıl 2020, Cilt 17 , Sayı 1, Sayfalar 258 - 261 2020-03-31

INTRODUCTION We aimed to compare the clinical efficacy and characteristics of bupivacaine spinal block when combined with either 10 or 25 mcg fentanyl in spinal anesthesia for Cesarean delivery. We also sought to evaluate its effects on maternal and neonatal hemodynamics. MATERIAL AND METHODS American Society of Anesthesiologists (ASA) Score I-II pregnant women aged 18-45 years who received spinal anesthesia for elective Cesarean section were included in the study. Age, weight, height, weeks of gestation at delivery. Patients were divided into three groups: Patients who received hyperbaric bupivacaine alone were classified as Group I, those who received hyperbaric bupivacaine plus 10 mcg fentanyl were classified as Group II and those who received hyperbaric bupivacaine plus 25 mcg fentanyl were classified as Group III. Block characteristics, as well as hemodynamic data, were retrieved from records. Additionally, heart rate, SpO2 readings at 5- and 10- minute and 1- and 5- minute Apgar scores of the newborn were noted. RESULTS Demographic properties were similar among the three groups. Mean time to onset of sensory block at T10 dermatome and mean time to Modified Bromage scale 3 was significantly shorter in Group III compared to the other two groups (p<0,05). The first analgesic requirement time was found to be longer in Group II and III compared to Group I (p= 0,05). SBP and DBP values at 3-minute were significantly decreased in all three groups (p<0,05). The difference in-between the three groups, however, was not significant. One- and 5-minute Apgar scores were similar among groups. 5- and 10-minute heart rates and saturation rates of the newborns did not differ among groups. The incidence of postoperative headache, pruritus, nausea, vomiting and urinary retention was also similar among the groups. CONCLUSION We recommend the use of intrathecal fentanyl because it shortens the onset time of anesthesia, increases the quality of intraoperative analgesia, prolongs the duration of sensorial block and delays the onset of postoperative pain.
Spinal anesthesia, fentanyl, cesarean delivery, bupivacaine
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Birincil Dil en
Konular Kadın Hastalıkları ve Doğum
Bölüm Research Article
Yazarlar

Orcid: 0000-0003-3647-7516
Yazar: Fatma KAVAK AKELMA (Sorumlu Yazar)
Kurum: University of Health Sciences, Ankara Zubeyde Hanim Etlik Maternity and Gynecology Teaching and Research Hospital, Department of Anaesthesiology, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0003-0203-1495
Yazar: Zahide Özlem ULUBAY
Kurum: University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Anesthesiology, Istanbul, Turkey
Ülke: Turkey


Orcid: 0000-0001-9545-5283
Yazar: Sengül ÖZMERT
Kurum: University of Health Sciences, Ankara Child and diseases Haematology Oncology Training and Research Hospital, Department of Anesthesiology, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0003-4787-9350
Yazar: Betül GÜVEN AYTAÇ
Kurum: University of Health Sciences, Ankara Zubeyde Hanim Etlik Maternity and Gynecology Teaching and Research Hospital, Department of Anaesthesiology, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0002-9077-8742
Yazar: Galip ÖZMERT
Kurum: University of Health Sciences, Ankara Zubeyde Hanim Etlik Maternity and Gynecology Teaching and Research Hospital, Department of Anaesthesiology, Ankara, Turkey
Ülke: Turkey


Teşekkür 909 07-22 numarası ile yazı kabul edilmişti. İnternet sitesi yenilendiği için tekrar yükleniyor. Teşekkür ederim
Tarihler

Başvuru Tarihi : 28 Aralık 2019
Kabul Tarihi : 9 Şubat 2020
Yayımlanma Tarihi : 31 Mart 2020

Bibtex @araştırma makalesi { jgon666674, journal = {Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi}, issn = {}, eissn = {2667-7849}, address = {Talatpaşa Bulvarı No 128, Hamamönü - ANKARA}, publisher = {T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi}, year = {2020}, volume = {17}, pages = {258 - 261}, doi = {}, title = {Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery}, key = {cite}, author = {KAVAK AKELMA, Fatma and ULUBAY, Zahide Özlem and ÖZMERT, Sengül and GÜVEN AYTAÇ, Betül and ÖZMERT, Galip} }
APA KAVAK AKELMA, F , ULUBAY, Z , ÖZMERT, S , GÜVEN AYTAÇ, B , ÖZMERT, G . (2020). Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi , 17 (1) , 258-261 . Retrieved from https://dergipark.org.tr/tr/pub/jgon/issue/53489/666674
MLA KAVAK AKELMA, F , ULUBAY, Z , ÖZMERT, S , GÜVEN AYTAÇ, B , ÖZMERT, G . "Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 17 (2020 ): 258-261 <https://dergipark.org.tr/tr/pub/jgon/issue/53489/666674>
Chicago KAVAK AKELMA, F , ULUBAY, Z , ÖZMERT, S , GÜVEN AYTAÇ, B , ÖZMERT, G . "Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 17 (2020 ): 258-261
RIS TY - JOUR T1 - Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery AU - Fatma KAVAK AKELMA , Zahide Özlem ULUBAY , Sengül ÖZMERT , Betül GÜVEN AYTAÇ , Galip ÖZMERT Y1 - 2020 PY - 2020 N1 - DO - T2 - Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi JF - Journal JO - JOR SP - 258 EP - 261 VL - 17 IS - 1 SN - -2667-7849 M3 - UR - Y2 - 2020 ER -
EndNote %0 Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery %A Fatma KAVAK AKELMA , Zahide Özlem ULUBAY , Sengül ÖZMERT , Betül GÜVEN AYTAÇ , Galip ÖZMERT %T Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery %D 2020 %J Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi %P -2667-7849 %V 17 %N 1 %R %U
ISNAD KAVAK AKELMA, Fatma , ULUBAY, Zahide Özlem , ÖZMERT, Sengül , GÜVEN AYTAÇ, Betül , ÖZMERT, Galip . "Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 17 / 1 (Mart 2020): 258-261 .
AMA KAVAK AKELMA F , ULUBAY Z , ÖZMERT S , GÜVEN AYTAÇ B , ÖZMERT G . Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery. JGON. 2020; 17(1): 258-261.
Vancouver KAVAK AKELMA F , ULUBAY Z , ÖZMERT S , GÜVEN AYTAÇ B , ÖZMERT G . Comparison of different fentanyl doses in spinal anesthesia for caesarian delivery. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2020; 17(1): 261-258.