iarjaccIARJACCIARJACC2709-1880https://doi.org/10.47310/iarjacc.2023.v04i02.004Comparison of the Effects of General Anesthesia with Remifentanil and Spinal Anesthesia on Newborn and Mother in Elective Cesarean SectionAydınMermerYasinTireAbdullahCelepŞerefOtelcioğluKonya City Hospital, Department of Anesthesiology and Reanimation, Konya/TurkeyOutcomes Research Consortium, Cleveland Clinic, OH, USANecmettin Erbakan University Meram Faculty of Medicine, Department of Anesthesiology and Reanimation, Konya/TurkeyBackground: Today, both general and regional anesthesia (spinal, epidural and combined spinal-epidural) techniques are applied to the patients who will be applying cesarean section. Both anesthesia techniques used in the cesarean section have their own advantages and disadvantages. In our study, we aimed to compare the maternal and neonatal effects of spinal anesthesia and general anesthesia using remifentanil. Materials and Methods: Sixty-six pregnant women with ASA I-II physical status were included in the study. Patients were randomly divided into two groups general anesthesia and spinal anesthesia. A computer-generated randomization program using a random block size was used. The age, height, weight and gestational week of each patient were recorded in the operation room. Systolic Arterial Pressure (SAP), Diastolic Arterial Pressure (DAP), Mean Arterial Pressure (MAP), Peripheral Oxygen Saturation (SPO2) and Heart Rate (HR) were measured and the values were recorded as baseline values. The 1st and 5th min. Activity-Pulse-Grimace-Appearance-Respiration (APGAR) values of the newborns were evaluated by the same pediatrician. Umbilical artery blood gas, 2nd-hour and 24th-hour Neurologic and Adaptive Capacity Scoring System (NACS) values of all newborns were recorded. Anesthesia since newborn hatching, uterine incision-infant hatching, duration of anesthesia and neonatal resuscitation (mask ventilation or intubation) were recorded in both groups. Postoperatively the first time the newborn can receive their mother's breast as effectively as the absorption time was recorded. Results: SAB values were higher in the general anesthesia group and there was a statistically significant difference between the groups (p-value = 0.00 *). In the same way, after the patients undergoing spinal/intubation, 5th, 10th and 15th min. Mean Arterial Pressure (MAP) and Diastolic Arterial Pressure (DAB) values were higher in the general anesthesia group and there was a statistically significant difference between the groups (p-value = 0.00*). Conclusion: We think that general anesthesia performed with remifentanil and thiopental used in the elective cesarean section may be applied as an alternative to spinal anesthesia in terms of mother and newborn health.