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Paper Information

Journal:   JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)   FALL 2007 , Volume 25 , Number 86; Page(s) 106 To 110.
 
Paper: 

EVALUATION OF NEUROLOGIC AND ADAPTIVE CAPACITY SCORE AFTER INDUCTION WITH THIOPENTAL IN CESAREAN SECTION

 
 
Author(s):  JABAL AMELI MITRA*, BARATI HAJAR, TAHERI SH.
 
* DEPARTMENT OF ANESTHESIOLOGY, SCHOOL OF MEDICINE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, IRAN
 
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.
 
Keyword(s): NACS, THIOPENTAL, APGAR, INDUCTION, CESAREAN
 
References: 
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