Spinal versus general anesthesia in cesarean sections: The effects on postoperative pain perception

Roy Kessous, Adi Y. Weintraub, Arnon Wiznitzer, Alexander Zlotnik, Gali Pariente, Hana Polachek, Fernanda Press, Barak Aricha-Tamir, Adi Leizerovich, Eyal Sheiner

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Objective To compare postoperative pain perception and analgesia requirements in patients undergoing cesarean section (CS) using general versus spinal anesthesia. Study design A prospective, observational study of patients undergoing elective CS during 2009 under either general or spinal anesthesia. Postoperative pain intensity and analgesia requirements were evaluated for up to 48 h after surgery. Results A total of 153 women were enrolled; 77 received general and 76 received regional anesthesia. Postoperative meperidine requirements in the Wrst 24 h were signiWcantly higher in the general anesthesia group. Pain scores were mostly comparable between the groups. Nevertheless, lower pain scores were graded after 8 h in the general versus the spinal anesthesia and this reversed at 48 h. Conclusion Spinal anesthesia is comparable to general anesthesia in terms of post-operative pain control. In choosing the type of anesthesia in CS, other factors such as the urgency and potential maternal and fetal hazards should be taken into account.

Original languageEnglish
Pages (from-to)75-79
Number of pages5
JournalArchives of Gynecology and Obstetrics
Volume286
Issue number1
DOIs
StatePublished - 1 Jul 2012

Keywords

  • Cesarean section
  • General anesthesia
  • Postoperative pain
  • Spinal anesthesia

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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