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Evaluation of Neurologic and Adaptive Capacity Score After Induction With Thiopental in Cesarean Section



Jabalameli M1 ; Barati H2 ; Taheri S2
Authors
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Authors Affiliations
  1. 1. School of Medicine, Isfahan University of Medical Sciences, Iran
  2. 2. Isfahan University of Medical Sciences, Iran

Source: Journal of Isfahan Medical School Published:2007

Abstract

Background: The neurologic and adaptive capacity score (NACS) is a multi-item scale to measure the effects of intrapartum drugs on the neonate. The purpose of this study was to assess NACS after induction with thiopental. Methods: In this prospective study, for 76 elective cesarean section parturient, anesthesia induced with thiopental 4 mg/kg, succinyl choline 1.5 mg/kg and maintained with halothane and N2O/O2 (50/50). Iv fluids and all drugs administration were similar in all patients. Apgar (1th, 5th) and NACS were checked 15 minutes, 2 and 24 hours after birth. Findings: Eleven neonates (%14/4) had NACS≤34, 15 minutes after birth. Only two neonates had NACS≤34, 2 hours after birth. None of them had no NACS≤34, 24 hours after birth. There was significant difference for NACS in all 3 times (p=0.0001). The most frequency of NACS was 38-40 in all the times. Conclusion: There was no significant changes in neuro adaptive and Apgar scores clinically. There was direct correlation between NACS and Apgar in all the times. © 2017, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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