Comparison of Anesthetic Complications between COVID-19 Infected and Non COVID-19 Infected Patients Undergoing Cesarean Section
Keywords:Anesthetic complication, Cesarean section, Pregnancy, COVID-19
Background: Coronavirus disease 2019 (COVID-19) is a disease that can cause pneumonia and respiratory failure. Pregnancies increase susceptibility to respiratory complications and deaths.
Objectives: This study aims to compare anesthetic complications between COVID-19 infected and non COVID-19 infected patients undergoing cesarean section.
Methods: This study is analyzed as retrospective cohort study which collected data in Samutsakhon Hospital. Patient demographics and information were collected from medical records from July 2021 to June 2022 which involving 146 COVID-19 infected patients and 144 non COVID-19 infected patients.
Results: COVID-19 infected patients were conducted with general anesthesia higher than non COVID-19 infected patients (p=0.026). Incidence of hypotension in patients who conducted with spinal anesthesia was lower in COVID-19 group (p=0.032) and doses of ephedrine were lower in COVID-19 infected group (p=0.01). There were no statistical significant differences in incidences of bradycardia and shivering.
Conclusions: The choice of anesthesia in pregnant women undergoing cesarean section depends on many factors. Complications of general anesthesia are the risk from airway manipulation and viral spread. Complications of spinal anesthesia are hypotension, bradycardia and shivering. This study reveals that incidence of hypotension is lower in COVID -19 infected group. Spinal anesthesia is considered a safe anesthetic technique in COVID-19 parturients.
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