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Anesth Analg 1977; 56:228-235
© 1977 International Anesthesia Research Society
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A Comparison of General Anesthesia and Lumbar Epidural Analgesia for Elective Cesarean Section

FRANCIS M. JAMES, III, MD*, J. SELWYN CRAWFORD, MB, ChB, FFARCS, DA, MD (Ill.){dagger}, ROWLAND HOPKINSON, MB, ChB, FFARCS{ddagger}, PAUL DAVIES, PhD§, and HAMID NAIEM, MB, ChB, FRCOG||

*Associate Professor, Department of Anesthesia, Bowman Gray School of Medicine. {dagger}Consultant Anaesthetist, Birmingham Maternity Hospital. {ddagger}Senior Registrar, Department of Anaesthesia, Birmingham Maternity Hospital. §Honorary Lecturer, Department of Mathematical Statistics, University of Birmingham, Birmingham, ||Research Assistant, Department of Anaesthesia, Birmingham Maternity Hospital England. Birmingham Maternity Hospital at the Queen Elizabeth Medical Centre, Birmingham, England. Dr.

Abstract

Controversy exists concerning the choice of anesthetic technic for elective cesarean section. Several maternal and newborn parameters were compared during general anesthesia (GA) and lumbar epidural analgesia (LEA). High inspired maternal 02 levels were achieved with both technics. Vigorous, well-oxygenated infants with good umbilical-cord acid-base values were delivered during both GA and LEA. Umbilical artery and vein pH were better with GA, but 1-minute Apgar-minus-color scores were higher and time to sustained respiration was shorter with LEA. On the basis of this study, neither technic can be vigorously recommended over the other from the standpoint of the newborn's condition.




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K. S. Khaw, C. C. Wang, W. D. Ngan Kee, C. P. Pang, and M. S. Rogers
Effects of high inspired oxygen fraction during elective Caesarean section under spinal anaesthesia on maternal and fetal oxygenation and lipid peroxidation{dagger}
Br. J. Anaesth., January 1, 2002; 88(1): 18 - 23.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.