Key result
Sevoflurane general anesthesia shows no difference in cesarean newborn Apgar scores versus bupivacaine spinal anesthesia.
Why the study?
The optimal anesthetic technique for cesarean section remains debatable due to potential side effects on mothers and neonates, with Apgar score used to assess neonatal outcomes.
Does general anesthesia with sevoflurane compared to spinal anesthesia with bupivacaine affect Apgar scores in neonates delivered by cesarean section?
Cross-Sectional (n=40)
No
Does general anesthesia with sevoflurane compared to spinal anesthesia with bupivacaine affect Apgar scores in neonates delivered by cesarean section?
Both general anesthesia with sevoflurane and spinal anesthesia with bupivacaine have comparable and favorable effects on neonatal Apgar scores during cesarean section.
Answers are grounded in this paper and cite their sources.
Spinal anesthesia was associated with higher Apgar scores; leaves open whether randomized trials should prioritize it over general anesthesia.
The use of the anesthetic technique for cesarean section is still debatable because of the side effects caused by anesthesia for mothers and neonates. The succeed to determine anesthetic technique can be seen from the outcome of the final condition of the mother and the neonates. The assessment of the succeed to determine anesthetic technique in neonates has been using the Apgar score by assessing the clinical status of the newborn in the first and fifth minutes. This research is aimed to understand the comparison between Apgar scores in cesarean section using general anesthesia sevoflurane and spinal anesthesia bupivacaine. This research is analytical retrospective with a cross-sectional study approach, using a total sample of 40 patients who performed cesarean section from August to November 2021, the samples were taken by consecutive sampling. The data was taken from the medical records of the Melinda Mother and Child Hospital, Bandung. The results of this research showed that there was no significant difference in the APGAR Score first minute between general anesthesia and spinal anesthesia (p=0,054) in the fifth minute (p=0,708). There was no effect on APGAR scores in the general anesthesia sevoflurane group and spinal anesthesia bupivacaine group, and both anesthetic groups had a good effect on neonates
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Bisri et al. (2023) conducted a cross-sectional in Cesarean section delivery (n=40). Sevoflurane general anesthesia vs. Bupivacaine spinal anesthesia was evaluated on First-minute Apgar score (p=0.054). Sevoflurane general anesthesia and bupivacaine spinal anesthesia resulted in no significant difference in first-minute and fifth-minute Apgar scores among newborns delivered by cesarean section.
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