The effect of epidural and general anesthesia on newborn rectal temperature at elective cesarean section

dc.contributor.authorYentur E.A.
dc.contributor.authorTopcu I.
dc.contributor.authorEkici Z.
dc.contributor.authorOzturk T.
dc.contributor.authorKeles G.T.
dc.contributor.authorCivi M.
dc.date.accessioned2024-07-22T08:21:57Z
dc.date.available2024-07-22T08:21:57Z
dc.date.issued2009
dc.description.abstractBoth epidural and general anesthesia can impair thermoregulatory mechanisms during surgery. However, there is lack of information about the effects of different methods of anesthesia on newborn temperature. The purpose of this study was to determine whether there are differences in newborn rectal temperature related to type of anesthesia. Sixty-three pregnant women were randomly assigned to receive general or epidural anesthesia. Maternal core temperature was measured three times with a rectal probe just before anesthesia, at the beginning of surgery and at delivery. In addition, umbilical vein blood was sampled for pH. The rectal temperatures of the babies were recorded immediately after delivery, and Apgar scores were determined 1, 5, and 10 min after birth. The duration of anesthesia and the volume of intravenous fluid given during the procedure (833 ± 144 vs 420 ± 215 mL) were significantly higher in the epidural group than in the general anesthesia group (P < 0.0001). Maternal rectal temperatures were not different in both groups at all measurements. In contrast, newborn rectal temperatures were lower in the epidural anesthesia group than in the general anesthesia group (37.4 ± 0.3 vs 37.6 ± 0.3° C; P < 0.05) immediately after birth. Furthermore, the umbilical vein pH value (7.31 ± 0.05 vs 7.33 ± 0.01; P < 0.05) and Apgar scores at the 1st-min measurement (8.0 ± 0.9 vs 8.5 ± 0.7; P < 0.05) were lower in the epidural anesthesia group than in the general anesthesia group. Since epidural anesthesia requires more iv fluid infusion and a longer time for cesarean section, it involves a risk of a mild temperature reduction for the baby which, however, did not reach the limits of hypothermia.
dc.identifier.DOI-ID10.1590/S0100-879X2009000900014
dc.identifier.issn0100879X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18858
dc.language.isoEnglish
dc.publisherAssociacao Brasileira de Divulgacao Cientifica
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectatracurium
dc.subjectbupivacaine
dc.subjectisoflurane
dc.subjectnitrous oxide plus oxygen
dc.subjectsuxamethonium
dc.subjectthiopental
dc.subjectadult
dc.subjectApgar score
dc.subjectarticle
dc.subjectcesarean section
dc.subjectclinical trial
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectcore temperature
dc.subjectepidural anesthesia
dc.subjectfemale
dc.subjectgeneral anesthesia
dc.subjecthuman
dc.subjecthypothermia
dc.subjectneuromuscular blocking
dc.subjectnewborn
dc.subjectoperation duration
dc.subjectpH
dc.subjectrandomized controlled trial
dc.subjectrectum temperature
dc.subjectthermoregulation
dc.subjectumbilical vein
dc.titleThe effect of epidural and general anesthesia on newborn rectal temperature at elective cesarean section
dc.typeArticle

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