Korean J Anesthesiol.  2014 May;66(5):364-370. 10.4097/kjae.2014.66.5.364.

Effects of general and spinal anesthetic techniques on endothelial adhesion molecules in cesarean section

• Honca M
• Purtuloglu T
• Akgul EO
• Oztosun M
• Honca T
• Sizlan A
• Agilli M
• Aydin I
• Yetim M
• Aydin FN
• Yaman H

• KMID: 1937755
• DOI: http://doi.org/10.4097/kjae.2014.66.5.364

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.

Keyword

Cesarean section; Endothelial adhesion molecules; General anesthesia; Spinal anesthesia

MeSH Terms

Anesthesia, General
Anesthesia, Spinal
Cesarean Section*
Female
Fetal Blood
Humans
Infant, Newborn
Leukocyte Count
Neopterin
Pregnancy
Neopterin