ABSTRACT
Caesarean section is the most common surgical procedure performed in India. Although it has been generally agreed that spinal anesthesia (SA) is the preferred anesthetic technique for Cesarean delivery (CD), epidural anesthesia is advised when an epidural catheter is already in place. However, the efficacy of epidural anesthesia has been reported as inferior to that of SA in both elective and emergency situations. Aim of the study: To compare epidural and spinal anesthesia in patients undergoing C-section. Methods: The study was conducted in the Department of Gynecology and Obstetrics and Department of Anaesthesia, Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar, India. For the study, patients scheduled for caesarian section were included. Patients who had malfunctioning epidural catheter or improper epidural placement or complicated pregnancy were excluded from the study. A total of 30 patients were included. A written informed consent was obtained from all the participants in the study. To include the patients in the study, it was made sure that they had physical status of I-II; full-term, singleton pregnancy. On the day of surgery, patients were advised to fast for at least 8 hours before the surgery. For the anesthesia, patients were randomly grouped into two groups, Group I and Group II. Patients in Group I was anesthetized with epidural anesthesia and patients in Group II were anesthetized with spinal anesthesia. Results: In the present study, a total of 30 patients were selected. Patients were randomly grouped into Group I and Group 2. The mean age in group 1 was 36.32 years and in group 2 was 35.11 years. The mean height in group 1 was 160.21 cm and in group 2 was 159.21 cm. The mean body weight was 71.11 kg in group 1 and was 70.26 kg in group 2. The Apgar scores at 1 min in Group I was 9.22 and in group II was 8.89. The Apgar scores at 5 min in Group I was 9.56 and in group II was 9.32. VAS pain scores on postoperative day 1 in Group 1 was 2.89 and in Group 2 was 3.16. Conclusion: From the present study, this can be concluded that the effect of anesthesia on the newborn in both the groups was similar and had no different effects.
ABSTRACT
Background: Spinal anesthesia for caesarean section isadvantageous due to simplicity of technique, rapidadministration and onset of anesthesia, reduced risk ofsystemic toxicity and increased density of spinal anestheticblock. The present study was conducted to assesscomplication of spinal anesthesia in cesarean section.Materials & Methods: The present study was conducted on104 cesarean sections performed in gynaecology department.Patient’s parameters such as heart rate, systolic bloodpressure, diastolic blood pressure and respiratory rates wereassessed regularly. Intraoperative complications wereassessed and recorded.Results: Age group 18- 22 years had 45 patients, 22-26 yearshad 30 and 26- 30 years had 25 patients. The difference wassignificant (P< 0.05). The most common complication wasshivering seen in 32, anesthetic failure in 27, Post-duralpuncture headache (PDPH) in 20, hypotension in 16,nausea/vomiting in 14, high spinal block in 12, backache in 5and loss of consciousness in 4. The difference was significant(P< 0.05).Conclusion: Authors found that complications of spinalanesthesia are not uncommon phenomenon. Commoncomplication was shivering, anesthetic failure, Post-duralpuncture headache (PDPH), hypotension, nausea/vomiting,high spinal block, backache and loss of consciousness.