Effect of Uterine Fundal Pressure on Maternal Intraocular Pressure in Cesarean Delivery
| Autor: | Esra Turkyilmaz, Aysun Kurtay, Esra Özayar, Eyup Horasanli, Zennure Yildiz, Gokhan Yildiz, Handan Güleç |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Intraocular pressure medicine.medical_specialty genetic structures Maternal Health Glaucoma Anesthesia General Tonometry Ocular Young Adult 03 medical and health sciences 0302 clinical medicine Anesthesia Conduction Heart Rate Pregnancy Pressure medicine Humans Arterial Pressure 030212 general & internal medicine Cesarean delivery Intraocular Pressure reproductive and urinary physiology Elective cesarean section Cesarean Section business.industry Uterus Delivery Obstetric medicine.disease eye diseases Surgery Ophthalmology Regional anesthesia Anesthesia 030221 ophthalmology & optometry Female Ocular Hypertension sense organs business |
| Zdroj: | Journal of Glaucoma. 26:708-711 |
| ISSN: | 1057-0829 |
| DOI: | 10.1097/ijg.0000000000000687 |
| Popis: | To evaluate the intraocular pressure (IOP) changes accompanying fundal pressure during a cesarean-section procedure under both regional and general anesthesia.In total, 60 women scheduled for elective cesarean section, none of them diagnosed with ocular problems, were enrolled in the study. Patients underwent cesarean section under either general (group G, n=30) or regional anesthesia (group S, n=30) according to their choice. IOP was measured with a Tono-Pen before (T1) and after (T2) application of anesthesia, during fundal pressure (T3), and after the birth of the baby (T4). Heart rate as well as systolic, diastolic, and mean arterial pressure were recorded during the procedure.There was no significant difference in IOP between the groups (P0.05). In group S, IOP at T3 was significantly higher than at all other timepoints (P0.001). In group G, IOP at T3 was significantly higher than at T2 and T4. Mean arterial pressure was significantly lower in group S at all timepoints except T1.In conclusion, fundal pressure may significantly increase the IOP, but the choice of anesthetic technique may not have any effect on IOP. |
| Databáze: | OpenAIRE |
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