Could the Umbilical Cord Suggest the Method of Anesthesia?
Yükleniyor...
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publishing House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: We aimed to investigate changes in aspartate
aminotransferase (AST), alanine aminotransferase (ALT), lactate
dehydrogenase (LDH), creatine kinase-myocardial band (CK-MB),
and troponin I levels, which were biochemical parameters that gave
an idea regarding clinical conditions such as tissue damage and
asphyxia, according to the anesthesia type, to compare their levels in
mothers who gave birth with normal spontaneous vaginal delivery
(NSVD) and to investigate whether the type of anesthesia applied
caused a change in biochemical parameters.
Methods: Of the 90 patients included in the present study, 30
(33.3%) underwent general anesthesia, while 30 (33.3%) underwent
spinal anesthesia, and 30 (33.3%) gave birth with NSVD. AST,
ALT, LDH, CK-MB, and troponin I levels were measured in all
pregnant women before they were taken to the operating room or
delivery room. After the baby was delivered, a blood sample was
taken from the umblical artery to measure AST, ALT, LDH, CKMB, and troponin I levels. The APGAR scores, the need for oxygen,
positive pressure ventilation, and intubation after delivery of the
newborns were recorded.
Results: Statistically significant increases were found in AST, ALT,
LDH, and troponin I levels in umblical artery in all groups when
compared with their levels in pregnant women before delivery.
Conclusion: An increase in umbilical artery CK-MB and ALT
levels was observed in the NSVD group. Due to the increase in
umbilical artery CK-MB and ALT levels in the NSVD group, it was
found that it was not appropriate to evaluate the effects of anesthesia
on the newborn with these markers
Açıklama
Anahtar Kelimeler
Umbilical cord, lactate dehydrogenases, parturition, anesthesia
Kaynak
Bezmialem Science
WoS Q DeÄŸeri
Scopus Q DeÄŸeri
Cilt
11
Sayı
2
