Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013)
DC Field | Value | Language |
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dc.contributor.author | 박상희 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김운영 | - |
dc.contributor.author | 김재환 | - |
dc.contributor.author | 이윤숙 | - |
dc.contributor.author | 박영철 | - |
dc.date.accessioned | 2021-09-04T05:59:21Z | - |
dc.date.available | 2021-09-04T05:59:21Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1975-5171 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/90567 | - |
dc.description.abstract | Background: Cesarean section anesthesia requires adequate preparation because of maternal physiologic changes, a higher risk for massive maternal bleeding, neonatal considerations, and a higher frequency of emergency operations. Therefore, we retro- spectively compared clinical outcomes of cesarean section patients between a high-risk group and non-high-risk group in order to improve anesthesia care. Methods: We reviewed medical records from cesarean section cases at our tertiary medical center for 5 years (2009–2013). Para- meters included the anesthesia and operative time; estimated blood loss, fluid volume and blood products administered during surgery, additional administration of maternal uterotonic medications; as well as the birth weight, Apgar scores, number of neonatal intensive care unit (NICU) admissions, and stillbirth rates of the neonate. Results: The total number of delivery cases was 1935 during the 5 years, and the cesarean section cases accounted for 58.8% (1,138 cases). There were 735 emergency surgery cases (64.6%), and 813 (71.4%) patients were in the high-risk group. Estimated blood loss, fluid volume used, and the frequency and amount of blood transfusions were statistically higher in the high-risk group. Among 1,243 neonates, 918 (73.9%) were born from high-risk mothers. Neonatal birth weights and Apgar scores (1 and 5 minutes) from patients in the high-risk group were statistically lower than those in the non-high-risk group, and NICU admissions and stillbirths were statistically higher in the high-risk group. Conclusions: Anesthesiologists should be aware of unfavorable clinical outcomes in high-risk cesarean section groups and carefully prepare for anesthesia care in these cases. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | 대한마취통증의학회 | - |
dc.title | Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013) | - |
dc.title.alternative | Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013) | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 김운영 | - |
dc.contributor.affiliatedAuthor | 김재환 | - |
dc.contributor.affiliatedAuthor | 이윤숙 | - |
dc.contributor.affiliatedAuthor | 박영철 | - |
dc.identifier.doi | 10.17085/apm.2016.11.1.49 | - |
dc.identifier.bibliographicCitation | Anesthesia and Pain Medicine, v.11, no.1, pp.49 - 54 | - |
dc.relation.isPartOf | Anesthesia and Pain Medicine | - |
dc.citation.title | Anesthesia and Pain Medicine | - |
dc.citation.volume | 11 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 49 | - |
dc.citation.endPage | 54 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002076366 | - |
dc.description.journalClass | 2 | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Cesarean section | - |
dc.subject.keywordAuthor | High-risk delivery | - |
dc.subject.keywordAuthor | Obstetric anesthesia | - |
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