PMID- 27366446
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160701
LR  - 20200930
IS  - 2667-677X (Print)
IS  - 2149-276X (Electronic)
IS  - 2149-276X (Linking)
VI  - 42
IP  - 6
DP  - 2014 Dec
TI  - The Evaluation of Applied Anaesthetic Techniques for Caesarean in Parturients 
      with Cardiac Diseases: Retrospective Analysis.
PG  - 326-31
LID - 10.5152/TJAR.2014.49389 [doi]
AB  - OBJECTIVE: In this study, the effects of anaesthetic technique on mother and 
      newborn were investigated in a retrospective analysis of parturients with cardiac 
      diseases undergoing Caesarean section between 2006-2012. METHODS: Our hospital's 
      medical information system records were analyzed, and we found 107 parturients 
      with cardiac disease and were undergoing Caesarean section, and their demographic 
      data and obstetric, anaesthetic, and neonatal record forms were inspected. 
      RESULTS: Fifty-three (49.5%) pregnant women received general anaesthesia, and 54 
      (50.5%) received regional anaesthesia (34 spinal, 19 epidural and 1 CSE) 
      (p=0.05). Week of pregnancy was lower for the group of general anaesthesia 
      (p=0.007). Among cardiac parturients, valvular lesion rates were higher (75.7%). 
      The relationship between existing cardiac disease and anaesthetic management was 
      not significant (p=0.28). However, we determined that parturients with higher 
      NYHA (New York Heart Association) classifications had higher general anaesthesia 
      rates. (p=0.001). A rate of 39% of 74 NYHA I patients were undergoing general 
      anaesthesia; this rate was 64% for NYHA II and 100% for NYHA III. The patients 
      with cardiac surgery or medical treatment history had higher general anaesthesia 
      rates (p=0.009). Although the general anaesthesia group newborn weights were 
      lower (p=0.03), there was no difference between groups for APGAR scores. With 
      regard to postoperative complications and hospital stay, the groups were similar. 
      CONCLUSION: We determined that general and epidural rates in parturients with 
      cardiac diseases were similar, general anaesthesia was preferred for parturients 
      who had higher NYHA classifications and surgical or medical treatment history. We 
      considered that general anaesthesia criteria should reduce the anaesthesia 
      management of parturients with cardiac disease; epidural or CSE anaesthesia 
      applications should increase according to the patient's physical state, 
      haemodynamic parameters, and obstetric indications.
FAU - Yildirim, Ozlem Ilhan
AU  - Yildirim OI
AD  - Department of Anaesthesiology and Reanimation, Ege University Faculty of 
      Medicine, Izmir, Turkey.
FAU - Gunusen, Ilkben
AU  - Gunusen I
AD  - Department of Anaesthesiology and Reanimation, Ege University Faculty of 
      Medicine, Izmir, Turkey.
FAU - Sargin, Asuman
AU  - Sargin A
AD  - Department of Anaesthesiology and Reanimation, Ege University Faculty of 
      Medicine, Izmir, Turkey.
FAU - Firat, Vicdan
AU  - Firat V
AD  - Department of Anaesthesiology and Reanimation, Ege University Faculty of 
      Medicine, Izmir, Turkey.
FAU - Karaman, Semra
AU  - Karaman S
AD  - Department of Anaesthesiology and Reanimation, Ege University Faculty of 
      Medicine, Izmir, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20140711
PL  - Turkey
TA  - Turk J Anaesthesiol Reanim
JT  - Turkish journal of anaesthesiology and reanimation
JID - 101680817
PMC - PMC4894132
OTO - NOTNLM
OT  - Cardiac disease
OT  - anaesthetic technique
OT  - caesarean section
OT  - pregnancy
OT  - retrospective analysis
EDAT- 2014/12/01 00:00
MHDA- 2014/12/01 00:01
PMCR- 2014/12/01
CRDT- 2016/07/02 06:00
PHST- 2013/11/03 00:00 [received]
PHST- 2013/12/10 00:00 [accepted]
PHST- 2016/07/02 06:00 [entrez]
PHST- 2014/12/01 00:00 [pubmed]
PHST- 2014/12/01 00:01 [medline]
PHST- 2014/12/01 00:00 [pmc-release]
AID - tard-42-6-326 [pii]
AID - 10.5152/TJAR.2014.49389 [doi]
PST - ppublish
SO  - Turk J Anaesthesiol Reanim. 2014 Dec;42(6):326-31. doi: 10.5152/TJAR.2014.49389. 
      Epub 2014 Jul 11.