A study comparing estimated blood loss between Spinal anaesthesia and general anaesthesia on Women undergoing elective caesarian section at KNH
Abstract
This was a prospective descriptive correlational study done at Kenyatta National Hospital,
Nairobi province, Kenya to compare the estimated blood loss during spinal anaesthesia and
general anaesthesia for patient undergoing elective caesarian section.
A total of 70 patients were included in the study, 35 in each group. There pre operative
hemoglobin levels were noted and post operative hemoglobin levels were then checked on the
third post-operative day. Observation and estimation of blood loss was based on the formula
developed by Snelling and Shaw.
In the present there was no significant difference in the two groups as regards blood loss.
However, patients in the spinal anaesthesia tendered to have no significant drop in hemoglobin
level as 48.6% had no change in the spinal group while this was 37.1% in the general anaesthesia
group. No patients were transfused during the study.
It was therefore concluded that in skilled hands both.techniques can be used for the provision of
safe anaesthesia for obstetrics patients.
Citation
Masters of Medicine in AnaesthesiaPublisher
University Of Nairobi College of Health Sciences