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The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section
BACKGROUND: In cesarean section (c-sec) it is known that women receiving spinal anesthesia have decreased intraoperative blood loss compared to women receiving general anesthesia. However, we should always consider postoperative bleeding (postpartum bleeding) that may follow. The amount of postpartu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Anesthesiologists
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284733/ https://www.ncbi.nlm.nih.gov/pubmed/22379566 http://dx.doi.org/10.4097/kjae.2012.62.2.125 |
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author | Kim, Jeong Eun Lee, Ji Hyang Kim, Eun Ju Min, Myung Woo Ban, Jong Seouk Lee, Sang Gon |
author_facet | Kim, Jeong Eun Lee, Ji Hyang Kim, Eun Ju Min, Myung Woo Ban, Jong Seouk Lee, Sang Gon |
author_sort | Kim, Jeong Eun |
collection | PubMed |
description | BACKGROUND: In cesarean section (c-sec) it is known that women receiving spinal anesthesia have decreased intraoperative blood loss compared to women receiving general anesthesia. However, we should always consider postoperative bleeding (postpartum bleeding) that may follow. The amount of postpartum bleeding can be substantial. Therefore, we sought to evaluate the effect of type of anesthesia retrospectively on intra- and postoperative blood loss by comparing the changes of postoperative Hb, Hct at c-sec. METHODS: We retrospectively compared the medical records of 287 elective c-sec patients. We excluded medical and obstetric conditions that may predispose such patients to increased blood loss. Subsequent detailed record analysis included 152 patients that received spinal anesthesia (group S), and 135 patients that received sevoflurane for general anesthesia (group G). RESULTS: In comparison with the preoperative Hb, rates of Hb in the 1(st) postoperative day in group S significantly decreased compared to group G, but there was no significant difference in decreasing rates of Hb in the 3(rd) postoperative day between groups S and G. Estimated blood loss (EBL) of the intraoperative and operative day in group S was significantly lower compared to group G, but there was no significant difference in EBL of 1(st) and 2(nd) postoperative day between groups S and G. CONCLUSIONS: We conclude that group S had a decrease in blood loss between the intraoperative and operative day and there was no significant differences in postoperative blood loss compared with group G. |
format | Online Article Text |
id | pubmed-3284733 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Society of Anesthesiologists |
record_format | MEDLINE/PubMed |
spelling | pubmed-32847332012-02-29 The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section Kim, Jeong Eun Lee, Ji Hyang Kim, Eun Ju Min, Myung Woo Ban, Jong Seouk Lee, Sang Gon Korean J Anesthesiol Clinical Research Article BACKGROUND: In cesarean section (c-sec) it is known that women receiving spinal anesthesia have decreased intraoperative blood loss compared to women receiving general anesthesia. However, we should always consider postoperative bleeding (postpartum bleeding) that may follow. The amount of postpartum bleeding can be substantial. Therefore, we sought to evaluate the effect of type of anesthesia retrospectively on intra- and postoperative blood loss by comparing the changes of postoperative Hb, Hct at c-sec. METHODS: We retrospectively compared the medical records of 287 elective c-sec patients. We excluded medical and obstetric conditions that may predispose such patients to increased blood loss. Subsequent detailed record analysis included 152 patients that received spinal anesthesia (group S), and 135 patients that received sevoflurane for general anesthesia (group G). RESULTS: In comparison with the preoperative Hb, rates of Hb in the 1(st) postoperative day in group S significantly decreased compared to group G, but there was no significant difference in decreasing rates of Hb in the 3(rd) postoperative day between groups S and G. Estimated blood loss (EBL) of the intraoperative and operative day in group S was significantly lower compared to group G, but there was no significant difference in EBL of 1(st) and 2(nd) postoperative day between groups S and G. CONCLUSIONS: We conclude that group S had a decrease in blood loss between the intraoperative and operative day and there was no significant differences in postoperative blood loss compared with group G. The Korean Society of Anesthesiologists 2012-02 2012-02-20 /pmc/articles/PMC3284733/ /pubmed/22379566 http://dx.doi.org/10.4097/kjae.2012.62.2.125 Text en Copyright © the Korean Society of Anesthesiologists, 2012 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Article Kim, Jeong Eun Lee, Ji Hyang Kim, Eun Ju Min, Myung Woo Ban, Jong Seouk Lee, Sang Gon The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
title | The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
title_full | The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
title_fullStr | The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
title_full_unstemmed | The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
title_short | The effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
title_sort | effect of type of anesthesia on intra-and postoperative blood loss at elective cesarean section |
topic | Clinical Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284733/ https://www.ncbi.nlm.nih.gov/pubmed/22379566 http://dx.doi.org/10.4097/kjae.2012.62.2.125 |
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