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Archives of Anesthesiology and Critical Care، جلد ۱، شماره ۳، صفحات ۷۲-۷۵
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| چکیده فارسی مقاله |
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| عنوان انگلیسی |
Electrocardiographic Changes in Elective Cesarean Delivery after Oxytocin Injection: Regional Anesthesia versus General Anesthesia |
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| چکیده انگلیسی مقاله |
Background: There is evidence that electrocardiographic (ECG) changes occur during elective cesarean section in parturients. These changes, mostly in the form of ST-segment depression, have been noted in either regional anesthesia or general anesthesia. We performed this study to compare hemodynamic variables and electrocardiographic changes suggestive of myocardial ischemia following administration of oxytocin in elective cesarean delivery between regional and general anesthesia methods. Methods: In this double-blinded randomized clinical trial, 130 parturients were randomly divided into two groups of general anesthesia (65 cases) and spinal anesthesia (65 cases). After delivery of the baby and placenta, firstly a bolus of 5 units of oxytocin was injected, and then 30 units of oxytocin was infused over 30 minutes in both groups. Hemodynamic variables including heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were studied. ECG recording was done twice (1 hour and 24 hour) after the operation. For those who demonstrated ECG changes, serum troponin I level was measured. Results: The ECG changes suggestive of ischemia was higher in general anesthesia group (36.9%, 24 cases) compared to spinal anesthesia group (24.6%, 16 cases), but it was not statistically significant (P= 0.12). Troponin I levels checked for patients with ECG changes were all within normal limits. Conclusion : Although ST depression on ECG was more prevalent in parturients who underwent cesarean section under general anesthesia compared to spinal anesthesia, the difference was not statistically significant. None of the cases demonstrated myocardial injury based on Troponin I measurements. |
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| نویسندگان مقاله |
گیتا شعیبی | gita shoeibi
from the 1department of anesthesiology and critical care, shariati hospital, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
حسینی | hamid hoseini
from the 1department of anesthesiology and critical care, shariatihospital, tehran university of medical sciences,tehran,iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
شقایق مرعشی | shaqayeq marashi
from the 1department of anesthesiology and critical care, shariatihospital, tehran university of medicalsciences, tehran,iran.
سازمان اصلی تایید شده: دانشگاه تهران (Tehran university)
امیر عباس یاقوتی | amir abbas yaghooti
department of anesthesiology and critical care, bahrami hospital, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
مژده جلالی | mozhde jalali
department of anesthesiology and critical care, tehran universityofmedicalsciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه تهران (Tehran university)
عباس استاد علیپور | abbas ostad alipour
department of anesthesiology and critical care, bahrami hospital, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
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| نشانی اینترنتی |
http://aacc.tums.ac.ir/index.php/aacc/article/view/4 |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Research Article(s) |
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