Effects of anesthesia type on short-term postoperative cognitive function in obstetric patients following cesarean section

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dc.contributor.authorAltun, Celalettin
dc.contributor.authorBorazan, Hale
dc.contributor.authorSahin, Osman
dc.contributor.authorGezginc, Kazim
dc.date.accessioned2024-02-23T14:41:10Z
dc.date.available2024-02-23T14:41:10Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractObjective: We aimed to compare the effects of general and spinal anesthesia on cognitive functions in pregnant patients undergoing elective cesarean section. Material and Methods: Seventy-five American Society of Anesthesiology (ASA) I pregnant patients aged 18-40 years who were scheduled to undergo elective cesarean section were divided into three groups. Group sevoflurane (Group S) and Group desflurane (Group D) were administered general anesthesia, whereas Group regional (Group R) was administered spinal anesthesia. Hemodynamic variables, bispectral index, oxygen saturation were measured at baseline, after induction, spinal injection, and during the surgery. Extubation and eye opening time and Aldrete scores were recorded. Mini-mental state examination, Trieger dot test, and clock drawing test were performed one day before the surgery and repeated at the 1st, 3rd and 24th h postoperatively. Results: There was no statistically significant difference among the groups in terms of demographic data and duration of surgery (p>0.05). Durations of anesthesia for Group S, Group R, and Group D were significantly different (p<0.05). Duration of anesthesia for Group R was significantly longer than for Groups S and D (p<0.0001). Aldrete recovery scores and total remifentanil consumption were significantly higher in Group D than in Group S (p<0.05). Extubation and eye opening times were significantly shorter in Group D than in Group S (p<0.01). According to TDT, statistical significance was found among Group S, Group R, and Group D at the 3rd and 24th h postoperatively (p<0.05), and there was a statistically high significant difference in Groups S and R (p<0.0001). Conclusion: We concluded that general anesthesia with sevoflurane or desflurane and spinal anesthesia had no effects on cognitive functions in patients undergoing cesarean operation.en_US
dc.identifier.doi10.5152/jtgga.2015.15073
dc.identifier.endpage225en_US
dc.identifier.issn1309-0399
dc.identifier.issn1309-0380
dc.identifier.issue4en_US
dc.identifier.pmid26692772en_US
dc.identifier.scopus2-s2.0-84948165767en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage219en_US
dc.identifier.urihttps://doi.org/10.5152/jtgga.2015.15073
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16743
dc.identifier.volume16en_US
dc.identifier.wosWOS:000365591300006en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal Of The Turkish-German Gynecological Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSevofluraneen_US
dc.subjectDesfluraneen_US
dc.subjectGeneral Anesthesiaen_US
dc.subjectSpinal Anesthesiaen_US
dc.subjectCognitive Functionen_US
dc.subjectCesarean Sectionen_US
dc.titleEffects of anesthesia type on short-term postoperative cognitive function in obstetric patients following cesarean sectionen_US
dc.typeArticleen_US

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