The effect of General and Spinal Anesthesia on Neutrophil to Lymphocyte Ratio in Patients Undergoing Cesarian Section. | [Anaesthesia, Pain and Intensive Care • 2015]

Author(s):

1. Mesut Erbas: Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

2. Huseyin Toman: Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

3. Meryem Gencer: Department of Obstetrics and Gynecology, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

4. Hasan Sahin: Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

5. Hasan Ali Kiraz: Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

6. Tuncer Simsek: Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

7. Hatice Saylan: Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)

8. Tugba Dogu: Department of Anesthesiology and Reanimation, Mart University, Çanakkale, (Turkey)

9. Ugur altinisik: Department of Anesthesiology and Reanimation, Mart University, Çanakkale, (Turkey)

10. H Betul Altinisik: Department of Anesthesiology and Reanimation, Mart University, Çanakkale, (Turkey)

Abstract:

Objective: Neutrophil to lymphocyte ratio (NLR) has become popular recently so that many studies have been done to find out the predictive value of NLR in many different aspects of clinical practice. The aim of this retrospective study was to evaluate the relationship between blood NLR and anesthetic techniques in patients undergoing cesarian section. Methodology: In this study, eighty patients (American Society of Anesthesiologists physical status I~II) undergoing elective cesarian section using spinal (Group S: 40) or general anesthesia (Group G: 40) were retrospectively analyzed for neutrophil to lymphocyte ratio. Results: The demographic characteristics of the groups, amount of bleeding, before the operation hemoglobin values, platelet counts, and NLR values were similar in both the spinal and general anesthesia groups. However, significant differences were observed with regard to NLR values in the postoperative period. Conclusion: Postoperative neutrophil to lymphocyte ratio in patients undergoing cesarian section under spinal anesthesia was found to be significantly lower as compared to general anesthesia.

Page(s): 485-488

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 4, Year: 2015

Keywords:

Keywords are not available for this article.

References:

[1] AteşF,YaraşS,SarıtaşB,AltıntaşE,SezginO,OrekiciG, 2011.Does neutrophil to lymphocyte ratio in peripheral blood predict endoscopic erosive esophagitis,Endoscopy 19 88 -90

[2] 2009.Usefulness of neutrophil/lymphocyte ratio as predictor of new-onset atrial fibrillation after coronary artery bypass grafting,Am J Cardiol 09 186 -91

[3] .Epub 2009 Dec 3, -

[4] x KılıçR,YaşarM.A,AvcıL,Demirelİ,YaşarD., 1999.The Effects of Using Epidural Anesthesia with General Anesthesia on Plasma Levels of Cytokins and Cortizol in Patients with Lower Abdominal Surgery,DOI: 10 00947 2044 -

[5] 2005.,Fırat Tıp Dergisi 10 59 -63

[6] 2011., 08 83 -7

[7] ., -

[8] SchneemilchCE,IttensonA,AnsorgeS,HachenbergT,BankU, 2005.Effect of 2 anesthetic techniques on the postoperative proinflammatory and antiinflammatory cytokine response and cellular immune function to minör surgery,J Clin Anesth 17 517 -27

[9] KeJJ,ZhanJ,FengXB,WuY,RaoY,Wang YL, 2008.A comparison of the effect of total intravenous anaesthesia with propofol and remifentanil and inhalational anaesthesia with isoflurane on the release of pro-and anti-inflammatory cytokines in patients undergoing open cholecystectomy,Anaesth Intensive Care 36 74 -8

[10] KeleşE,YazganH,GebeşçeA,PakırE., 2013.The Type of Anesthesia Used during Cesarean Section Is Related to the Transient Tachypnea of the Newborn,- ISRN Pediatr. 2013 Apr 24 264340 -

[11] TakahashiJ,ShonoY,HirabayashiH,KamimuraM,NakagawaH,EbaraS, 2006.Usefulness of white blood cell differential for early diagnosis of surgical wound infection following spinal instrumentation surgery,Spine 31 1020 -5

[12] ForgetP,De Kock M., 2014.Perspectives in anaesthesia for cancer surgery,J Cancer Res Clin Oncol 140 353 -9

[13] OgawaK,HiraiM,KatsubeT,MurayamaM,HamaguchiK,ShimakawaT, 2000.Suppression of cellular immunity by surgical stress,Surgery 127 329 -36

[14] ŽuraM,KozmarA,ŠakićK,MalenicaB, 2011.Effect of spinal and general anesthesia on serum concentration of pro-inflammatory and anti-inflammatory cytokines,Immunobiology 10 622 -27

[15] YıldırımS,AydoğanH,YalçınŞ,ÇiftçiH,KüçükA,BilgiçT,ZeyrekFY, 2013.Comparison of the effects of regional and general anesthesia on the immune system via cytokines in urooncologic surgery,Journal of Clinical and Experimental Investigations 4 51 -55

[16] KurtogluE,KokcuA,CelikH,TosunM,MalatyaliogluE., .May ratio of neutrophil to lymphocyte be useful in predicting the risk of developing preeclampsia? A pilot study,2014 Apr 9 -

[17] Bar-YosefS,MelamedR,PageGG,ShakharG,ShakharK,Ben-Eliyahu S, 2001.Attenuation of the tumor-promoting effect of surgery by spinal blockade in rats,Anesthesiology 94 1066 -73

[18] DanielAK,BrainJK,DecherneyAH,NathanL,GoodwinTM,LauferN, 2007.Maternal physiology during pregnancy, 156 -71

Citations

Downloads

Views