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Neonatal adaptation to extrauterine life has many physiological changes in neonatal organ systems. These adaptative changes may be affected such as type of delivery and anesthesia management at birth. near infrared spectroscopy (NIRS) is a popular non-invasive method that can be used in newborns thus monitorize tissue oxygenation regularly. In this study we have purposed to compare the effects of general anesthesia versus spinal anesthesia on newborn's cerebral and renal oxygenation in elective cesarean operations
The cases divided into two groups those spinal anesthesia group ( group:1; n:30 ) and general anesthesia group (group:2; n:30). The preoperative and intraoperative mean arterial pressures (MAP), heart rate (HR), arterial oxyhemoglobin saturation (SpO2), intraoperative blood loss values of pregnants and 1st-5th minute APGAR scores, preductal and postductal SpO2, perfusion index, heart rates, body temperature, cerebral and renal regional oxygen saturations of newborns after birth have been recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| spinal anesthesia | Active Comparator | Patients in this group were randomized to receive spinal anesthesia. (Near infrared spectroscopy (spinal anesthesia)) |
|
| general anesthesia | Active Comparator | Patients in this group were randomized to receive general anesthesia. (Near infrared spectroscopy (general anesthesia)). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Near infrared spectroscopy (spinal anesthesia) | Device | effect of spinal anesthesia on regional renal and cerebral oxygen saturation in newborns |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in renal and cerebral regional oxygenation (rSO2) in newborn | Assessed at third and fifth minutes and then every 5 minutes after birth | 60 minutes after birth |
| Measure | Description | Time Frame |
|---|---|---|
| preductal SpO2 | changes in preductal SpO2 after birth | 60 minutes after birth |
| postductal SpO2 | changes in postductal SpO2 after birth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ulku Arslan, MD | Antalya Training and Research Hospital | Study Director |
| Nilgun Kavrut Ozturk, MD | Antalya Training and Research Hospital | Principal Investigator |
| Ali Sait Kavakli, MD | Antalya Training and Research Hospital | Principal Investigator |
| Ozge Dagdelen, MD | Antalya Training and Research Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D019265 | Spectroscopy, Near-Infrared |
| D000775 | Anesthesia, Spinal |
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D013057 | Spectrum Analysis |
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| Near infrared spectroscopy (general anesthesia) | Device | effect of general anesthesia on regional renal and cerebral oxygen saturation in newborns |
|
| 60 minutes after birth |
| perfusion index | changes in perfusion index after birth | 60 minutes after birth |
| body temperature | changes in body temperature after birth | 60 minutes after birth |
| apgar scores | changes in apgar scores after birth | 1st and 5th minute after birth |
| D002623 |
| Chemistry Techniques, Analytical |
| D008919 | Investigative Techniques |
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |