Effects of general and spinal anesthetic techniques on endothelial adhesion molecules in cesarean section.
10.4097/kjae.2014.66.5.364
- Author:
Mehtap HONCA
1
;
Tarik PURTULOGLU
;
Emin Ozgur AKGUL
;
Muzaffer OZTOSUN
;
Tevfik HONCA
;
Ali SIZLAN
;
Mehmet AGILLI
;
Ibrahim AYDIN
;
Memduh YETIM
;
Fevzi Nuri AYDIN
;
Halil YAMAN
Author Information
1. Department of Anesthesiology and Reanimation, Kecioren Training and Research Hospital, Ankara, Turkey. mehtaphonca@hotmail.com
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Cesarean section;
Endothelial adhesion molecules;
General anesthesia;
Spinal anesthesia
- MeSH:
Anesthesia, General;
Anesthesia, Spinal;
Cesarean Section*;
Female;
Fetal Blood;
Humans;
Infant, Newborn;
Leukocyte Count;
Neopterin;
Pregnancy
- From:Korean Journal of Anesthesiology
2014;66(5):364-370
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The aim of this study was to investigate the effects of anesthetic techniques used during general anesthesia (GA) and spinal anesthesia (SA) on endothelial adhesion molecules in the fetal circulation of healthy parturients undergoing elective cesarean section. METHODS: Patients were randomly assigned to either the general anesthesia (n = 20) or spinal anesthesia (n = 20) group. Maternal and cord blood neopterin, sE-selectin, and sL-selectin levels were measured in both groups. RESULTS: Cord blood neopterin concentrations in the SA group were not different from those in the GA group, but maternal neopterin levels in the SA group were different from those in the GA group. Maternal blood levels of sE-selectin and sL-selectin were not different between the two groups. Similarly, the cord blood levels of sE-selectin and sL-selectin were not different between the two groups. We found an increased inflammatory process in the fetal circulation depending on the anesthetic method used. CONCLUSIONS: These results indicate the effects of general and spinal anesthetic techniques on serum sL-selectin, sE-selectin, and neopterin levels in neonates and parturients undergoing elective cesarean section. sE-selectin and neopterin concentrations and leukocyte counts were higher in the fetal circulation than in the maternal circulation during both GA and SA.
