ojs2 has produced an error Message: USER NOTICE: Deprecated function. In file: /var/www/html/journals/classes/article/Article.inc.php At line: 78 Stacktrace: Server info: OS: Linux PHP Version: 5.3.3 Apache Version: Apache DB Driver: mysql DB server version: 5.6.31
SUPPLEMENTAL OXYGEN FOR CAESAREAN SECTION UNDER SPINAL ANAESTHESIA | Adenekan | East African Medical Journal
Open Access Open Access  Restricted Access Subscription or Fee Access

SUPPLEMENTAL OXYGEN FOR CAESAREAN SECTION UNDER SPINAL ANAESTHESIA

A. T. Adenekan, A. F. FAPONLE, E. A. Azebi

Abstract


Background: Routine administration of supplemental oxygen to parturients undergoing
Caesarean section under spinal anaesthesia has been criticised in recent times.
Objectives: To assess the need for routine supplementary oxygen in healthy women
undergoing Caesarean section under spinal anaesthesia in resource challenged setting
and establish the efficacy of administration of oxygen at 4L/min.
Design: Simple randomized trial using sealed envelopes.
Setting: The Obafemi Awolowo University Teaching Hospital; a 580 bed hospital
situated in Ile-Ife in South-western Nigeria.
Subjects: Seventy parturients with ASA physical status I or Il undergoing Caesarean section under spinal anaesthesia.
Main outcome measures: Outcome measures were arterial oxygen saturation (SaO2) and Apgar scores at one and five minutes.
Results: The mean pre-induction arterial oxygen saturation in the two groups were
similar. There was a statistically significant difference in the mean SaO2 at one minute
between the two groups, with the control group being higher (97.7% ± 1.5% versus.
96.7% ± 1.5%; p-value = 0.008). The mean least SaO2 during surgery was also higher in
the control group (95.9% ± 1.5% versus 94.9% ± 2.0%, p-value = 0.015). The Apgar score
of the babies at one and five minutes for the study and control group were similar.
Conclusion: Healthy parturients undergoing Caesarean section under spinal anaesthesia
do well without supplemental oxygen; administration of supplemental oxygen from
the common gas outlet of anaesthetic machine with the breathing circuit and standard
anaesthetic facemask at 4L/min causes relative desaturation.

Full Text: PDF

Refbacks

  • There are currently no refbacks.


The East African Medical Journal is published monthly by Kenya Medical Association.

For more information, contact The Editor-in-Chief email: eamj@wananchi.com Tel 254-020-3864513, Fax:254-020-3864514