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J Contemp Med. 2013; 3(3): 175-181

Evaluation of Regional Anesthesia Complications in Caesarean Section

Semih ARICI, Serkan KARAMAN, Serkan DOGRU, Mustafa SUREN, Tugba KARAMAN, Hakan TAPAR, Ziya KAYA.

Aim: We aimed to evaluate the complications of regional anesthesia techniques in caesarean operations.
Material and Methods: Patients who underwent caesarean operation managed with regional anesthesia between January 2010 and January 2011 were included in this study. Demographic data, regional anesthesia method, position during approach, number of attempts, patient feelings during local anesthetic injection, dermatomal level, and complications were recorded. The results were analyzed and presented for each regional anesthesia technique.
Results: A total of 425 were performed in the study period. Totally 269 caesarean sections under regional anesthesia were included in this study. Caesarean sections were performed at a rate of 1.5 % in patients below 20 years of age, 91.1 % in 20-34 years of age and 7.4 % in over the age of 35 years. Specifically, spinal anesthesia, epidural anesthesia, and combined spinal-epidural anesthesia were applied to 236, 9, and 24 patients, respectively. Spinal anesthesia was the most frequently applied regional anesthesia technique in this study. The most common sensation during local anesthetic injection was feeling of warmth at a rate of 54.6 %. Post dural puncture headache was observed at a rate of 6.3 % (n=15), and backpain 8.8 % (n=21) in the spinal anesthesia group. Neurological complications occurred in 2 patients.
Discussion: The present study revealed that the complication rates of regional anesthesia techniques in our university had consistent results with the current literatures.

Key words: Anesthesia; spinal; epidural; complications; caesarean section.

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