Neonatal adaptation to extrauterine life has many physiological changes in neonatal organ systems. These adaptative changes may be affected such as type of delivery and anesthesia management at birth. near infrared spectroscopy (NIRS) is a popular non-invasive method that can be used in newborns thus monitorize tissue oxygenation regularly. In this study we have purposed to compare the effects of general anesthesia versus spinal anesthesia on newborn's cerebral and renal oxygenation in elective cesarean operations
The cases divided into two groups those spinal anesthesia group ( group:1; n:30 ) and general anesthesia group (group:2; n:30). The preoperative and intraoperative mean arterial pressures (MAP), heart rate (HR), arterial oxyhemoglobin saturation (SpO2), intraoperative blood loss values of pregnants and 1st-5th minute APGAR scores, preductal and postductal SpO2, perfusion index, heart rates, body temperature, cerebral and renal regional oxygen saturations of newborns after birth have been recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
60
effect of spinal anesthesia on regional renal and cerebral oxygen saturation in newborns
effect of general anesthesia on regional renal and cerebral oxygen saturation in newborns
Change in renal and cerebral regional oxygenation (rSO2) in newborn
Assessed at third and fifth minutes and then every 5 minutes after birth
Time frame: 60 minutes after birth
preductal SpO2
changes in preductal SpO2 after birth
Time frame: 60 minutes after birth
postductal SpO2
changes in postductal SpO2 after birth
Time frame: 60 minutes after birth
perfusion index
changes in perfusion index after birth
Time frame: 60 minutes after birth
body temperature
changes in body temperature after birth
Time frame: 60 minutes after birth
apgar scores
changes in apgar scores after birth
Time frame: 1st and 5th minute after birth
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