The outcomes of patients undergoing cesarean section with spinal anesthesia at Trat Hospital.

Abstract

　

Background : Regional anesthesia is commonly used to parturients because of many benefits. And intrathecal morphine is effective in postoperative pain control. However spinal block with intrathecal morphine can also causes complication such as hypotension, nausea vomitting and pruritus.

Objective : To study the complications of spinal block and side effects of intrathecal morphine.

Methods : A retrospective descriptive study was conducted in 766 cesarean section patients from July 2011- June 2012 in Trat Hospital. The data comprised of patients demographic data, preoperative condition, dose of local Anesthetic agent, anesthetic level, total fluid intake, physiologic change, adverse event and pain score in 24 hours. Data were presented in mean and percentage.

Result : A total of 766 patients, average age of 27.6 years old, most of patients were classification in ASA Physical status I. The incidence of hypotension was 46.75 percent, other complications of spinal anesthesia were brady 

cardia 1.3 percent and shivering 4.34 percent. Complications of intrathecal morphine were nausea vomitting 30.15 percent, pruritus 20.36 percent ; no incidence of backache, Post Dural Puncture Headache (PDPH) and respiratory depress.

Conclusion : Spinal block with intrathecal morphine provides safty in patients undergoing cesarean section at Trat Hospital. But incidence of hypotension and nausea vomiting from spinal anesthesia still high. Further study guidelines for prevents side effect of spinal anesthesia.