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Volume 10, Issue 2 (July- December) 2021

Original Articles

Comparative evaluation of general anaesthesia and spinal anaesthesia in patients undergoing caesarean section at a tertiary care hospital
Manikonda Rajya Laxmi, Venkatesh Sriram, Umamaheswar Rao, Kate Sairandhri Sainpal

Background: Caesarean section can be described as the procedure where a baby is delivered by an incision on the abdominal wall and uterus of the mother. Various factors, such as clinical indications, patient preference, and the proficiency of anesthesiologist, often influence the decision-making process when selecting between general anesthesia and spinal anesthesia for a cesarean section. Hence, the present study was conducted for comparing general anaesthesia and spinal anaesthesia for caesarean section. Materials &Methods: A total of 200 subjects scheduled to undergo elective C-section were enrolled. All the subjects were randomly divided into two study groups: Spinal anesthesia group and general anesthesia group. A Performa was made and the complete medical and family history of all the patients was evaluated. All the variables were compared. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis using SPSS software. Chi-square test and student t test were used for evaluation of level of significance. Results: Mean urine output at first hour among patients of spinal anesthesia group and general anesthesia group was 234.2 ml and 189.2 ml respectively. Mean time for first analgesic requirement among patients of spinal anesthesia group and general anesthesia group was 310.2 minutes and 192.4 minutes respectively. 8 percent of the neonates of the spinal anesthesia group and 12 percent of the neonates of the general anesthesia group were hospitalized. Conclusion: If not contraindicated, spinal anesthesia during elective C-section is a safer option and should be preferred.

 
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