Sengül ÖZMERT, Galip ÖZMERT, Fatma KAVAK AKELMA, Zahide Özlem ULUBAY, Betül GÜVEN AYTAÇ

Sezaryen Doğum için Spinal Anestezide Farklı Fentanil Dozların Karşılaştırılması

Amaç: Bu çalışmada sezaryen doğum için spinal anestezide bupivakain yanısıra 10 veya 25 mcg fentanilin spinal bloğun klinik etkinliği ve özelliklerini karşılaştırmayı amaçladık. Maternal ve neonatal hemodinamik üzerindeki etkilerini de ek olarak değerlendirmeyi amaçladık. Gereç ve Yöntemler: Amerikan Anestezistler Derneği (ASA) Skoru I-II olan, elektif sezaryen için spinal anestezi uygulanan, 18-45 yaş arası gebe kadınlar çalışmaya dahil edildi. Doğumda yaş, ağırlık, boy, gebelik haftaları. Hastalar üç gruba ayrıldı: Sadece hiperbarik bupivakain alan hastalar Grup I, hiperbarik bupivakain artı 10 mcg fentanil alan hastalar Grup II ve hiperbarik bupivakain artı 25 mcg fentanil alan hastalar Grup III olarak sınıflandırıldı. Hemodinamik verilerin yanı sıra blok özellikleri de kayıtlardan alındı. Ayrıca yenidoğanın kalp atım hızı, 5-10 ve 10. dakikada SpO2 okumaları ve 1- ve 5- dakikalık Apgar skorları kaydedildi. Bulgular: Demografik özellikler üç grup arasında benzerdi. T10 dermatomunda duyu bloğunun başlaması için ortalama süre ve Modifiye Bromage skalası 3 için ortalama süre Grup III’de diğer iki gruba göre anlamlı olarak daha kısaydı (p

Comparison of Different Fentanyl Doses in Spinal Anesthesia for Cesarean Delivery

Objective: We aimed to compare the clinical efficacy and characteristics ofbupivacaine spinal block when combined with either 10 or 25 mcg fentanylin spinal anesthesia for Cesarean delivery. We also sought to evaluate itseffects on maternal and neonatal hemodynamics.Methods: American Society of Anesthesiologists (ASA) Score I-II pregnantwomen aged 18-45 years who received spinal anesthesia for elective Cesarean section were included in the study. Age, weight, height, weeks ofgestation at delivery. Patients were divided into three groups: Patients whoreceived hyperbaric bupivacaine alone were classified as Group I, thosewho received hyperbaric bupivacaine plus 10 mcg fentanyl were classified as Group II and those who received hyperbaric bupivacaine plus 25mcg fentanyl were classified as Group III. Block characteristics, as well ashemodynamic data, were retrieved from records. Additionally, heart rate,SpO2 readings at 5- and 10- minute and 1- and 5- minute Apgar scores ofthe newborn were noted.Results: Demographic properties were similar among the three groups.Mean time to onset of sensory block at T10 dermatome and mean time toModified Bromage scale 3 was significantly shorter in Group III comparedto the other two groups (p

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