Our management of anesthesia in elective and emergency cesarean surgery: A retrospective evaluation of the last ten years; [Elektif ve acil sezaryen ameliyatlarında anestezi yönetimimiz: Son on yılın retrospektif değerlendirilmesi]

The choice of anesthesia used in cesarean operations is determined by the patient’s clinical status, the experience of the anesthetist, the urgency of surgery and the patient’s wishes. This study evaluated anesthetic practices in cesarean surgery performed in the preceding 10 years in our Maternity Hospital, Turkey. Hospital computer system records and file archives between 2006 and 2015 were screened. Anesthesia techniques used in elective and emergency cesarean surgery were recorded. The distribution of these techniques by years was then analyzed. A total of 28.986 cesarean sections (cases) were performed in our hospital in 2006-2015. Eighty-four percent of them were emergency and 16% of them were elective CSs. General anesthesia was used in 4848 (17%) and regional anesthesia in 24.138 (83%) patients, while combined spinal-epidural anesthesia was used in 2% and epidural anesthesia in 1% of the patients. Regional anesthesia was used frequently in our clinic similar to European countries. Spinal anesthesia was the most commonly preferred method of regional anesthesia in our clinic. However, especially in emergency cases combined spinal-epidural or epidural anesthesia was not applied. We think that combined spinal-epidural anesthesia should be applied more frequently in elective cases. © 2016, Logos Medical Publishing. All rights reserved.