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Abstract
Aim: Choosing the anesthesia technique should be carefully made because it would have an effect on both mother and fetus in cesarean section.The purpose of this study was to evaluate the anesthesia methods which was employed in Inonu University Medical Faculty, Anesthesiology and Reanimation Department between 2009-2011 in retrospective manner. Material-Methods: Techniques of anaesthesia, drugs used in regional anesthesia, ephedrine consumption of the patients have been recorded. Being elective or emergent, methods of anesthesia, regional anesthesia technique that was successful, the possibility of hypotension, total consumption of ephedrine, pre-loading solutions were recorded. In general anesthesia; type of muscle relaxant used in surgery, intubation difficulty of the patients, the rate of intubated patients admitted to ICU. Results: The mean presenting age of patients were 30.8 percent were urgent, 69.2 were elective. Twenty six percent of patients were undegoing to procedure under general anesthesia.7 1.6 percent were spinal anesthesia, and 2.4 percent were combined spinal epidural anesthesia. The amount of hyperbaric bupivacine for spinal anesthesia was 9.1p1.1 mg. In 66 of patients spinal anesthesia was failed and general anesthesia were administered. The mean systolic blood pressure was 115p18 mmHg, mean diastolic blood pressure was 83.5p12 mmHg. The average puls rate was 81.7p10. The incidence of hypotension was 40%. The total amount of ephedrine consumption was 8.4p2 mg. Fluid preloading was obtained in 71.9 percent of patients with crystalloid, 17.6 percent with colloid and 10.1 percent with colloid and crystalloid solutions. Muscle relaxation was obtained in 23.2 percent of patients with succinylcholine, 2.8 percent with rocuronium. The rate of diffucult intubation was 4%. 34 of patients intuated in intensive care unit due to inadequate respiratory function. Patients 83.4% with no additional disease, while 8.3% of patients with preeclampsia, HELLP syndrome developed in 1.1% of patients. Conclusions: The use of regional anesthesia techniques in cesarean section in our clinic was
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