Comparison of Sevoflurane with Enflurane Anesthesia for Cesarean Section / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 770-776, 2003.
Article
in Korean
| WPRIM
| ID: wpr-186866
ABSTRACT
BACKGROUND:
Sevoflurane has a low blood-gas partition coefficient, resulting in rapid induction and recovery. We compared the effects of sevoflurane with those of enflurane anesthesia on parturients and neonates during and after elective cesarean section.METHODS:
Ninety-six parturients were divided into two groups E (enflurane, n = 47) and S (sevoflurane, n = 49). After endotracheal intubation with intravenous administration of thiopental 4 mg/kg and succinylcholine 1.5 mg/kg, anesthesia was maintained with 50% nitrous oxide in oxygen and enflurane 1 vol% or sevoflurane 1 vol%. Maternal hemodynamic parameters, blood loss, and recovery were monitored. Neonatal outcome was evaluated by Apgar scores, umblical artery blood gas analysis and acid-base status.RESULTS:
Recovery times were faster with sevoflurane anesthesia (P < 0.05). All patients in two groups developed transient hypertension and tachycardia after intubation, which returned to baseline in approximately 5 minutes. Maternal blood loss did not differ significantly between the two groups, and one patient in S group developed postoperative recall. Neonatal outcome was equally good in the two groups.CONCLUSIONS:
Parturients anesthetized with sevoflurane for cesarean section recovered more rapidly compared with enflurane without any differences in hemodynamic parameters and neonatal outcome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Arteries
/
Succinylcholine
/
Tachycardia
/
Thiopental
/
Blood Gas Analysis
/
Cesarean Section
/
Enflurane
/
Administration, Intravenous
/
Hemodynamics
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2003
Type:
Article
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