Sezaryen cerrahisinde anestezi deneyimlerimiz: Retrospektif çalışma

Yıl 2025, Cilt: 9 Sayı: 3, 389 - 394, 31.12.2025

Çağdaş Baytar , Merve Sena Baytar , Zeynep Koç , Rahşan Dilek Okyay , Özcan Pişkin , Hilal Ayoğlu

https://doi.org/10.29058/mjwbs.1800810

Öz

Amaç: Bu çalışmanın amacı, Zonguldak Bülent Ecevit Üniversitesi Hastanesi’nde gerçekleştirilen sezaryen ameliyatlarında tercih edilen anestezi yöntemlerini ve bu yöntemlere bağlı perioperatif bulguları değerlendirmektir.
Gereç ve Yöntemler: Ocak 2018–Eylül 2019 tarihleri arasında Zonguldak Bülent Ecevit Üniversitesi Hastanesi'nde sezaryen operasyonu geçiren 1229 hastanın dosyaları retrospektif olarak incelendi. Demografik özellikler, anestezi tipi, yenidoğanın 1. ve 5. dakika APGAR skorları ile intraoperatif ve postoperatif komplikasyonlar kaydedildi.
Bulgular: Olguların %58,4’üne spinal, %41,3’üne genel anestezi uygulandı. Spinal anestezi grubunda 1. ve 5. dakika APGAR (aktivite, nabız, refleks yanıtı, görünüm ve solunum) skorları anlamlı olarak daha yüksek bulundu (p<0.001). Spinal anestezide ephedrin gereksinimi (%36.9) genel anesteziye (%3.7) kıyasla belirgin derecede fazlaydı. Anestezi süresi spinal grupta daha kısa (p<0.001), ancak hastanede kalış süresi açısından fark yoktu (p=0.086).
Sonuç: Sezaryen ameliyatlarında spinal anestezi, maternal ve neonatal sonuçlar açısından güvenli ve etkili bir yöntemdir. Ancak hipotansiyon ve ephedrin gereksinimi daha sık görüldüğünden hemodinamik stabilitenin yakından izlenmesi gereklidir.

Anahtar Kelimeler

Sezaryen , spinal anestezi , genel anestezi , APGAR skoru , hipotansiyon

Anesthetic experiences in cesarean surgery: A retrospective study

Öz

Aim: To evaluate the anesthetic techniques used for cesarean deliveries and their perioperative outcomes at Zonguldak Bülent Ecevit University Hospital.
Material and Methods: This retrospective study included 1,229 women who underwent cesarean delivery between January 2018 and September 2019 at Zonguldak Bülent Ecevit University Hospital. Demographic characteristics, anesthesia type, 1- and 5-minute APGAR (activity, pulse, grimace, appearance, respiration) scores, and perioperative complications were assessed.
Results: Spinal anesthesia was performed in 58.4% of the cases, while general anesthesia was used in 41.3%. The APGAR scores at 1 and 5 minutes were significantly higher in the spinal group (p < 0.001). The requirement for ephedrine was significantly higher in the spinal anesthesia group (36.9%) compared to the general anesthesia group (3.7%). The duration of anesthesia was shorter in the spinal group (p < 0.001), whereas the length of hospital stay did not differ significantly between the groups (p = 0.086).
Conclusion: Spinal anesthesia represents a safe and effective technique for cesarean delivery, demonstrating improved neonatal outcomes. Nevertheless, the increased incidence of hypotension and the need for vasopressor support necessitate vigilant hemodynamic monitoring.

Anahtar Kelimeler

Cesarean section , spinal anesthesia , general anesthesia , APGAR score , hypotension

Kaynakça

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