Comparison of Sevoflurane with Enflurane Anesthesia for Cesarean Section / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 770-776, 2003.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Artérias
/
Succinilcolina
/
Taquicardia
/
Tiopental
/
Gasometria
/
Cesárea
/
Enflurano
/
Administração Intravenosa
/
Hemodinâmica
Limite:
Feminino
/
Humanos
/
Recém-Nascido
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2003
Tipo de documento:
Artigo
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