Merhaba Misafir

Choice of anesthesia method in cesarean delivery: Communication between anesthesiologist and obstetrician

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Introduction: Both regional anesthesia (RA) and general anesthesia (GA) can be used in cesarean delivery (CD). In this study, anesthesia methods of CD patients were examined and the anesthesia preferences of the physicians participating in the operation were investigated. Methods: All CD files between March and August 2018 were retrospectively reviewed. Because RA was contraindicated, patients who were treated with GA and had missing data in their files were excluded from the evaluation. Five women diseases and obstetricians performing operations were coded as A, B, C, D and E, while anesthesiologists were coded as X, Y and Z. The demographic data of the patients and the names of gynecologists, obstetricians and anesthesiologists were recorded. The effects of anesthesia and gynecologists and obstetricians on anesthesia alone and together were investigated. Results: A total of 346 CD files were evaluated. 66.5% of the patients (230 patients) had RA and 33.5% (116) GA. There was no significant difference between the mothers' age (p>0.05) and gestational weeks (p>0.05). When the CDs were compared with the active women in which the obstetricians and obstetricians were actively participating, the lowest RA rate was Doctor D with 40.00% and the highest Doctor C with 87.10%. Anesthesia specialists compared between themselves; The RA ratio was the lowest for Doctor Z, 0% for Doctor X and 76.20% for the highest. When we evaluated the active practitioner anesthesiologists and obstetricians for each CD; In the CD operations of Obstetrician Doctor C and Anesthetist Doctor X, RA was found to be 91.70% and a statistically significant difference was found (p<0.05). Discussion and Conclusion: The coordinated studies of anesthesiologists and obstetricians who are active practitioners in the operation of CDs are effective in determining the most suitable anesthesia methods.

Yayınlandığı Kaynak : Journal of Contemporary Medicine