Key result
General and spinal anesthesia resulted in similar postoperative pain intensity and analgesic requirements during the first 48 hours in patients undergoing emergent or elective cesarean sections.
Why the study?
The study was conducted to compare the effects of general and spinal anesthesia on postoperative pain intensity and analgesic requirements in patients scheduled for emergent or elective cesarean sections.
Does general anesthesia compared to spinal anesthesia affect postoperative pain intensity in patients undergoing cesarean section?
Observational (n=212)
No
Does general anesthesia compared to spinal anesthesia affect postoperative pain intensity in patients undergoing cesarean section?
General and spinal anesthesia result in similar postoperative pain intensity and analgesic requirements in patients undergoing cesarean section.
Answers are grounded in this paper and cite their sources.
Postoperative pain and analgesic needs appear comparable after general or spinal anesthesia for cesarean delivery; observational data leave open whether choice affects other outcomes.
Objective: The aim of this study is to compare the effects ofgeneral and spinal anesthesia on postoperative pain intensity andanalgesic agent requirements in patients scheduled for emergent orelective cesarean sections.Patients and Methods: This was a prospective, observationalstudy conducted in patients underwent emergent or electivecesarean delivery under spinal or general anesthesia. Postoperativepain intensity and analgesic agent requirements, postoperativecomplications and patients’ satisfactions were evaluated during thefirst 48 h postoperatively.Results: A total of 212 parturients were enrolled; 104 (53elective, 51 emergent) patients received general and 108 (54elective, 54 emergent) patients received spinal anesthesia.Preoperatively, patients who underwent emergent cesarean sectionunder spinal or general anesthesia had higher Numeric Rating Scale(NRS) scores than the patients who underwent elective cesareandelivery (p<0.001). In the first postoperative 48 h, NRS painscores were similar in patients who underwent emergent or electivecesarean sections under spinal or general anesthesia. Postoperativeanalgesic agent requirements and patients’ satisfactions were notstatistically significant between groups.Conclusion: The effects of general and spinal anesthesia onpostoperative pain were similar in emergent and elective cesareansections. Therefore, postoperative analgesic effect should not be adetermining factor in choosing the anesthesia method in cesareansections.
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Arslantaş et al. (2019) conducted an observational in Cesarean section (n=212). General anesthesia vs. Spinal anesthesia was evaluated on Postoperative pain intensity (Numeric Rating Scale scores) during the first 48 hours. General and spinal anesthesia resulted in similar postoperative pain intensity and analgesic requirements during the first 48 hours in patients undergoing emergent or elective cesarean sections.
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