Anestesia e Pesquisa Clínica
Acesso livre

Abstrato

Comparison between the Side Effects of Spinal and General Anesthesia during Caesarean Section in Tripoli Libya

Tarig MS Alnour, Amjad T Shaktur, Radwan A Ayyad, Masoda M Alhewat, Enas H Shaban, Hoda A Mohamed and Abderahman A Abdelfatah

Aim of the study: The present study was aimed to compare the side effects of general vs spinal anesthesia during caesarean operation.

Materials and methods: This study was conducted on 50 randomly selected participants. Of them 25 participants referred as case group A (treated with general anesthesia), and 25 participants were referred as case group B (treated with spinal anesthesia). Blood samples were collected before and after the operation to see the differences in WBCs, RBCs, Hemoglobin concentration and platelets count. Blood pressure and body temperature were also measured after operation. Other parameters were collected from patient's thick report or by direct interviewing questionnaire.

Results: The mean age of the participants was 30.52 ± 4.608, majority of them have their first or second caesarean section. 23/25 (92%) of spinal anesthesia was decided with the doctor while 20/25 (80%) of general anesthesia was chosen the patient's themselves. Local pain and headache were clearly observed in spinal anesthesia while vomiting, fever, ICU admission and infection were very rare when using both types of anesthesia. Marked differences were observed in the hemoglobin concentration, RBCs count, WBCs count and platelets count when using the two techniques of anesthesia before and after operation.

In our study, we observed in 40% of participants suffered from pain and 34% suffered from headache after operation in both groups A and B. No remarkable difference was noted on blood pressure range (but some participants have slightly decrease in BP). All participants have slight changes in WBCs, platelets count, RBCs count and Hemoglobin concentration.

Conclusion: Differences were observed in the tested parameters between general and spinal anesthesia, and the decision for types of anesthesia was made according to patient's psychological behavior rather that her medical condition.